Gambling Self-Exclusion Form

Complete this form to self-exclude from WaterAid raffles and lotteries. You can also call our Supporter Care team on 020 7793 4594 to make a self-exclusion request over the phone.

You can remove the exclusion by calling our Supporter Care Team on 020 7793 4594.
Contact name
(If known)
Minimum 6 months. If left blank the request will remain until we hear from you.

We ask you to provide the above details so we can identify you on our database and ensure your self-exclusion request is fulfilled. This does not constitute a marketing opt in and we will not use your details for any marketing activity unless we have your consent to do so.

Your privacy

WaterAid and WaterAid Trading will use your personal details to communicate with you in the ways you have agreed to, and as explained in our Privacy Policy. We may use the information you share with us and background information about you that we obtain from publicly available sources to carry out analysis (sometimes using suppliers) to tailor our communications to be more appropriate and relevant to your interests. You can withdraw your consent at any time. To change your preferences, or request to stop receiving communications please contact us on 0207 793 4594 or at [email protected]. For full details, including information about your privacy rights, see our Privacy Policy at

Getting help

WaterAid would also like to advise anyone who feels they are spending too much time or money gambling to visit, or call their helpline on 0845 6000 133.  GamCare provides access to support, information and specially trained counsellors to anyone who feels they, or someone close to them, has a problem with gambling.