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REQUEST FOR VOLUNTARY SELF-EXCLUSION FROM GAMING ACTIVITIES THIS FORM IS TO BE COMPLETED BY A PERSON REQUESTING TO BE EXCLUDED FROM GAMING ACTIVITIES AT EMPIRE CITY AND YONKERS RACEWAY, PURSUANT TO
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To fill out the Empire City Self Exclusion form, follow these steps:

01
Visit the official website of Empire City Casino or their responsible gaming page.
02
Look for the section or form specifically related to self-exclusion.
03
Read the instructions and terms carefully before proceeding.
04
Provide all the required personal information such as name, address, contact details, and any other necessary details.
05
Decide on the duration of self-exclusion, which can range from a few months up to several years.
06
Sign and submit the form as instructed, either online or by mail.

Empire City self-exclusion is suitable for individuals who:

01
Recognize they have a gambling problem and want to prevent themselves from gambling.
02
Wish to take a break from gambling to regain control over their habits and behaviors.
03
Seek assistance in preventing potential financial, emotional, or personal issues related to excessive gambling.
04
Want to protect themselves or their loved ones from the negative consequences of gambling addiction.
05
Are looking for a proactive step towards responsible gambling and self-care.
Remember, Empire City self-exclusion is a serious commitment, and if you or someone you know is struggling with gambling addiction, seeking professional help from support organizations or helplines is highly recommended.
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Empire city self exclusion is a program that allows individuals to voluntarily ban themselves from entering specific Empire City Casino locations.
Any individual who wishes to exclude themselves from entering Empire City Casino locations is required to file for empire city self exclusion.
To fill out the empire city self exclusion form, individuals need to provide personal information, including name, address, and contact details, as well as agree to the terms and conditions of the program.
The purpose of empire city self exclusion is to help individuals who may have gambling problems to restrict their access to gambling venues and prevent future gambling-related issues.
Individuals must report their personal details such as name, address, contact information, and any relevant gambling-related information.
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Related Links

NYS Gaming Commission : Gaming
... are regulated by the Tribe in conjunction with the National Indian Gaming Commission, although tribes, under certain circumstances, may self-regulate these ...
Voluntary Self-exclusion Request Form - Gaming Commission
May 12, 2025 — By submitting this completed voluntary self-exclusion form, you agree to be excluded from all the following properties including non-gaming ...
Voluntary Self-Exclusion - Gaming Commission - NY.Gov
Voluntary Self-Exclusion Form - ENGLISH. The Commission's voluntary self-exclusion form is available at the above link and at every licensed gaming facility.

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