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Get OK OAPCG State-wide Self-Exclusion

________ Hair: ____________________ Eyes: _______________________ Sex: ____________________ Race: _______________________ Scars & Tattoos: _________________________________________________________________ Initials _____ 1) As the signee, I understand that should I desire to enter a tribal gaming facility or casino, it is my responsibility to contact each tribal gaming facility to learn their process from removing my name from their self-exclusion list. Initials _____ 2) As the signee.

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