If you feel you have a problem with gambling and would like to request that St Leonard's 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 have a gambling problem and therefore wish to be excluded immediately from all of St Leonard's Hospice's gambling related activities, including receiving any gambling related marketing materials from St Leonard's Hospice, for a minimum period of:
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
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 St Leonard's Hospice, for a minimum of 7 years
St Leonard's Hospice will not send you any gambling related marketing materials, unless and until you specifically request us to do so.
Please ring the St Leonard’s Hospice Lottery helpline on 01904 799225,
if you wish to extend your chosen self-exclusion period (minimum 6 months extension).
Personal details