Raise Weekly Lottery: Self-exclusion form Please enable JavaScript in your browser to complete this form.By completing this form, you will be excluded from gambling related products and activities from Raise which will include all gambling related communications. Your self-exclusion from Raise’s Weekly Lottery is automatically a permanent arrangement and will be effective immediately. Should you wish to start playing again we would need your request in writing. However, there is a minimum period of self-exclusion of six months, and by law we cannot remove your self-exclusion status before those six months has lapsed. Should you have any current entries, these will be cancelled, and money already allocated to future draws will be refunded to you.For more information about excluding yourself from our lottery, please contact us at lottery@raisewestherts.org.uk or 07815 459037. If you would like more information or help and advice from a gambling support agency, please visit www.gambleaware.co.uk.Name (first name and last name) *FirstLastEmail *Your date of birth *Address line 1 *Address line 2Town/City *County *Postcode *We promise to respect any personal data you share with us and keep it safe. We aim to be clear we are collecting your data and not do anything with your data that you would not reasonably expect. You can read our full privacy policy here.Submit to self-exclude now