Self-exclusion

Gambling Commission - Licence Conditions and Code of Practice

If you feel you have a problem with gambling and would like to request that Severn Hospice excludes you from all of its gambling related activities, including receiving gambling related marketing materials, you can simply complete and submit the form below.

I acknowledge that I will not be allowed to rescind my self-exclusion during this period.

Following our successful completion of your self-exclusion request:

  • Your chosen self-exclusion period will remain in force with Severn Hospice, for a minimum of 7 years
  • Severn Hospice will not send you any gambling related marketing materials, unless and until you specifically request us to do so.

Please ring the Severn Hospice Lottery helpline on 01743 455 319, if you wish to extend your chosen self-exclusion period (minimum 6 months extension).

Personal details

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  I acknowledge my responsibility in ensuring adherence to this agreement. I acknowledge that the Promoter, its employees or agents have no liability or claims arising from my voluntary use of the gambling facilities provided.