Please fill out this form if you are interested in starting a chapter.

Your Name (required)

Your Email (required)

Phone Number (required)


Link to Social Media Profile

How did you hear about Cannamoms? (required)

Do you have experience running an organization or chapter? If so, please describe:

Can you commit to holding monthly meetings and events in your local community? (required)

Please specify the exact city or region of this potential chapter: (required)