Medicated Movie Night Registration
Cannabis Noire will be hosting regular monthly Mediated Movie Nights starting December 2019. We are excited to share our love of cinema, history, art and of course cannabis with you. Our movies will be chosen based on the suggestions we receive here from you. Each movie night event date will be shared with registered patients/guests as we approach our event date. We are asking a $10 donation for attendees of which half of the proceeds of each movie night will go toward the sustaining of wrap-around services, support, and resources we offer through our re-entry program.
Email address *
Name
Are you a registered patient or caregiver?
Clear selection
If you answered no are you interested in becoming a caregiver or patient?
Clear selection
What kind of movies do you prefer
Clear selection
You have only one stoner movie to watch for the rest of your life, which one do you choose?
Clear selection
What are your favorite movie snacks
Are you interested in vending at Movie Night?
Clear selection
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy