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CONFIDENTIAL 04/12/10 REQUEST FOR VOLUNTARY EXCLUSION FROM ALL DELAWARE VIDEO LOTTERY FACILITIES This form is to be completed by any patron requesting to be excluded from all gaming activities in all Delaware Video Lottery Facilities Delaware Park Dover Downs and Harrington Raceway Casino pursuant to Delaware Video Lottery Regulations 7. Please choose one. ONE YEAR FIVE YEARS LIFETIME WAIVER AND RELEASE I hereby release and forever discharge the State of Delaware the Delaware State Lottery...
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How to fill out Delaware Park Casino form:

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