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Issues with signing up? Please call us at (403) 401-2406 and we’ll manually process your patient registration.

1User Information

2Member Agreement

Name*
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Email*
Desired Username*
Password*
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Phone*
Date of Birth*
Address*
Street Address Address Line 2 City Province Postal Code
Drivers License / Passport / Province-issued ID
Accepted file types: jpeg, jpg, gif, png, pdf, tiff, Max. file size: 8 MB.
Please scan and upload your driver's license, passport, or province-issued ID card. If you choose not to upload your ID, you will receive a call from us to verify your identity.

CANADIAN CANNABIS ZONE - TERMS AND CONDITIONS:
I understand that cannabis may cause temporary impairment including decrease in cognitive ability while medicated. It may increase heart rate and/or decrease blood pressure. I will not drive or operate heavy machinery while medicated on cannabis products.

I understand that CCZ provides medical cannabis to me only and that reselling and or sharing is strictly forbidden. If I am caught reselling and/or sharing I understand that I will be permanently banned from CCZ services.

I understand that this membership does not permit me to possess or transport cannabis. An ACMPR is required for that and can be obtained from your doctor. CBH can help facilitate this if needed.

I understand that CCZ makes no representations, warranties, or guarantees that medicinal cannabis will be effective for my particular medical conditions and/or symptoms.

I grant CCZ permission to keep a copy of my documentation on file.

I designate CCZ to attain medical cannabis on my behalf.

Any credit card transactions will be billed from CCZ Glass and Gifts.

Welcome to Canadian Cannabis Zone!
Acceptance of Terms*
- I have read, and agree to, our membership agreement and terms of service.
Digital Signature*
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Date*
MM slash DD slash YYYY
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