THE 2009 OREGON MEDICAL CANNABIS AWARDS

Sponsored by Oregon NORML

PO Box 16057 ● Portland, OR 97292-0057 ● (503) 239-6110
Oregon NORML is the Oregon affiliate of the National Organization for the Reform of Marijuana Laws

ENTRANT’S CANNABIS STRAIN QUESTIONNAIRE

Entrant’s Name (print): OMMP#

#1 #2 #3 #4
Strain Name

Strain Pedigree
(describe, if known)

Strain Grown  Indoors  Indoors  Indoors  Indoors

(Check only 1 per strain)  Outdoors  Outdoors  Outdoors  Outdoors

Strain Source  Seeds  Seeds  Seeds  Seeds

(Check only 1 per strain)  Cuttings  Cuttings  Cuttings  Cuttings

Growth Medium  Soil  Soil  Soil  Soil

(Check only 1 per strain)  Aero/Hydro  Aero/Hydro  Aero/Hydro  Aero/Hydro

Lighting (if indoor)  Metal Halide  Metal Halide  Metal Halide  Metal Halide
(Check all that apply)  HP Sodium  HP Sodium  HP Sodium  HP Sodium

Fertilizer (if any)  Organic  Organic  Organic  Organic

(Check only 1 per strain)  Non-Organic  Non-Organic  Non-Organic  Non-Organic

Light Cycle (describe)

Growth Cycle:
How many Days/Weeks
to Vegetation?
Growth Cycle:
How many Weeks to
Flowering?

Additional Comments

My signature below certifies that the information contained in this document is true to the best
of my knowledge and that I grew this medical cannabis in compliance with ORS.400.300
through ORS.400.346, the Oregon Medical Marijuana Program.

Signature: Date:

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