2010 Oregon Medical Cannabis Awards

Presented by Oregon NORML

PO Box 16057 ● Portland, OR 97292-0057 ● (503) 239-6110 ● omca@ornorml.org

ENTRANT’S CONTRACT
REGISTRATION INDEMNIFICATION & RELEASE
All Entrants must be cardholders currently registered with the Oregon Medical Marijuana Program. All Entrants
shall be 18 years of age or older. Entrants must certify that his/her entry or entries are from Cannabis grown in
the State of Oregon and by himself/herself. All entrants must sign Entrant’s Contract and agree to abide by the
contest rules as set forth herein and in the Official Rules. Entries shall consists of one (1) ounce of dried & cured
marijuana of one known strain. Entrants may submit up to four (4) strains, but each strain entry must consist of
one (1) ounce (e.g. three strains = three ounces). Entrants shall pay a non-refundable Registration Fee. If only one
strain is submitted, the entry fee is $50. For two strains, the entry fee is $35. If three or more strains are
submitted, the entry fee is only $25. This Contract, Registration Fee, and Entries must be turned into the
Organizing Committee possession no later than 5 p.m. Friday, November 6, 2009. Submissions will not be
returned to the Entrant. The Organizing Committee will furnish to Entrant containers for use in packaging
submission(s). Appointments will be made with Entrants for receipt of cannabis being submitted.

I, the undersigned, do hereby swear or affirm under penalty of perjury that:

• I am a cardholder currently registered with the Oregon Medical Marijuana Program and I meet the
requirements listed herein.
• I agree to abide by the contest rules and the Entrant’s Contract.
• I hereby submit a signed Contract and non-refundable Registration Fee to Oregon NORML.
• I affirm that my entry or entries are from Cannabis personally grown in the State of Oregon I understand
that a substantial breach of this contract or the rules of this event – as determined by the Organizing
Committee – shall be grounds for disqualification and loss of all event privileges.
• If I sign this contract under false pretenses, i.e., that I am not a cardholder currently registered with the
Oregon Medical Marijuana Program, I agree to be responsible for any criminal or civil penalties levied
against Oregon Medical Cannabis Awards™ 2009 Organizing Committee, its officers, agents, and their
heirs and assigns, and Oregon NORML, its Officers, Board Members, agents, and their heirs and assigns.

Indemnification and Release

I, the undersigned, am entering into the Oregon Medical Cannabis Awards™ 2009 with full knowledge of state
and federal laws pertaining to cannabis. I am doing so of my own free will. I have been afforded the opportunity to
speak with an attorney of my choice and at my expense regarding my participation in this event. I hereby agree to
indemnify and hold harmless the Oregon Medical Cannabis Awards™ 2009 Organizing Committee, its officers,
agents, and their heirs and assigns, and Oregon NORML, its Officers, Board Members, agents, and their heirs and
assigns, from any and all claims arising from my participation. I know that the criminal laws concerning cannabis
include but are not limited to fines and jail and/or prison time. I freely choose to enter this event. I, the
undersigned, do further irrevocably assign to the Oregon affiliate of NORML (the National Organization for the
Reform of Marijuana Laws) all rights and privileges pertaining to photography and/or videography, including but
not limited to publishing rights to any and all recordings.
By signing this document, I certify that I meet the above criteria.

Your Printed Name:___________________________ Phone Number:__________________

Your Signature:______________________________ Date Signed:____________________

T-Shirt Size (check one) □Medium □Large □XL □XXL □XXXL

Dinner Choice (check one)□Beef □Chicken □Vegetarian □Not Eating

PLEASE FILL OUT THIS FORM COMPLETELY - ESPECIALLY THE PHONE NUMBER

2010 Oregon Medical Cannabis Awards

 2010 Oregon Medical Cannabis Awards
Presented by Oregon NORML
PO Box 16057 ● Portland, OR 97292-0057 ● (503) 239-6110 ● omca@ornorml.org

2010 Oregon Medical Cannabis Awards