Terms you can choose
Not verified: Two official Ho-Chunk sources disagree (both read 2026-10-01). Both revisions of the form say: 'The self-exclusion is considered permanent and irrevocable' and 'I hereby request that I be permanently excluded from all HCG-Wisconsin Gaming Enterprises.' Ho-Chunk's own Madison, Nekoosa, Wittenberg, Black River Falls and Wisconsin Dells pages say: 'Our self exclusion program allows guests to exclude themselves from any Ho-Chunk Gaming facility for a minimum of 12 months.' Neither source describes a removal process. No source says which one governs.
When it ends
Not verified.
How removal works. The form says the exclusion is permanent and irrevocable. Ho-Chunk's location pages say a minimum of 12 months. Neither describes a renewal or removal procedure, and no source says which governs. Whether the Nation operates an appeal process it does not publish has not been established.
On a lifetime term. Not verified: The form offers permanent as its only term and gives no removal route, while the operator's pages say a minimum of 12 months. Which applies is not established.
How to enroll
Open the form and sign it in person at a Ho-Chunk Gaming location.
Print the two-page form and fill in your details, then sign it at an HCG-Wisconsin gaming enterprise with a Security Officer as your witness. The form also has lines for the Security Director and an Executive Manager and a box for your picture. Downloading or filling in the form is not enrollment — the in-person signing is the only route the Nation publishes. The form says the exclusion is permanent and irrevocable, and Ho-Chunk's web pages say a minimum of 12 months. No removal process is described. Ask which applies before you sign. We don't fill in or submit this form.
- Download the Ho-Chunk Gaming — Wisconsin self-exclusion form. It runs two pages and carries no printed revision date. We don't fill in or submit this form.
- Fill in your name and identifying information. Leave the signature and the photo for the visit — the form is signed in person and a photo of you is attached at signing.
- The form carries no notary block and does not say whether a notary is needed. The witness it names is a Security Officer, who signs on the line beside yours.
- Take the form to an HCG-Wisconsin gaming enterprise and sign it there with a Security Officer as witness. The Security Director and an Executive Manager sign it too; the form does not say whether they do so while you are there.
- No processing time and no confirmation method are published, so signing the form is not by itself a published confirmation that you are on the list. Ask the Security Director for a copy of the signed form, and write down the date.
- The form says the exclusion is permanent and irrevocable and describes no renewal or removal procedure. Ho-Chunk's own web pages say the program lasts 'a minimum of 12 months'. Ask before you sign which one applies, and whether the Nation reviews these at all.
Before you count on it. The form names 'HCG-Wisconsin Gaming Enterprises' and does not list properties. Ho-Chunk's pages say the program covers 'any Ho-Chunk Gaming facility' and its home page lists seven locations, so ask the Security Director which locations your signed form covers. The form says the exclusion is permanent and irrevocable and describes no removal process. Ho-Chunk's own location pages say the program lasts 'a minimum of 12 months'. Nothing published says which is right, and nothing published describes an appeal. The form does address money and marketing. If you are caught playing, 'any winnings or prizes, including but not limited to jackpots, chips, tokens, machine credits, or ticket vouchers' are confiscated. You waive complimentary products and player-reward benefits you have earned. Ho-Chunk 'will take reasonable steps to remove my name from mailing lists and other means of marketing', and you agree to tell the marketing department if promotions keep coming. It does not address whether residents or visitors qualify, or what happens to credit or check-cashing privileges. It carries no notary block and does not say whether one is needed. No processing time or confirmation method is published. This is a Ho-Chunk Nation program — Wisconsin runs no statewide list, and this does not reach Potawatomi, Oneida, or any of the state's other gaming tribes.
Every route we checked
Routes that enroll you
- In person — An HCG-Wisconsin Gaming Enterprise location, witnessed by a Security Officer, with signature lines for the Security Director and an Executive Manager
The form is completed and signed in person at the gaming enterprise, with the photo affixed at signing. The operator's pages say to 'download and fill out our self exclusion form and deliver to any Ho-Chunk Gaming Wisconsin location'; they do not mention mail, email or an online route, and nothing published says a form can be sent in.
Requirements and sources
Sources read 2026-10-01. These are the program's requirements, not a record of anyone's enrollment.
- Terms available
- Not verified: Two official Ho-Chunk sources disagree (both read 2026-10-01). Both revisions of the form say: 'The self-exclusion is considered permanent and irrevocable' and 'I hereby request that I be permanently excluded from all HCG-Wisconsin Gaming Enterprises.' Ho-Chunk's own Madison, Nekoosa, Wittenberg, Black River Falls and Wisconsin Dells pages say: 'Our self exclusion program allows guests to exclude themselves from any Ho-Chunk Gaming facility for a minimum of 12 months.' Neither source describes a removal process. No source says which one governs.
- Can a resident enroll
- Not verified: Not stated on the form.
- Can a visitor enroll
- Not verified: Not stated on the form.
- Identification
- A photo of the self-excluded person is affixed to the form at signing; no other ID requirement is stated.
- Notarization
- Not verified: No notary block appears on the form, and the form does not say whether a notary is needed. Its signature block has lines for the signer, a 'Security Officer/Witness', the 'Security Director' and an 'Executive Manager'.
- Witnesses
- The signature block carries a line for a 'Security Officer/Witness' beside the signer's, then lines for the 'Security Director' and an 'Executive Manager', and a box to 'Insert Picture of Self-Excluded Person Here'. The form does not say whether the Director and Manager sign in the signer's presence.
- Notarizing online
- Not verified: Notarization is not established as required, so remote notarization does not arise.
- How long processing takes
- Not verified: Not described.
- How you are told it took effect
- Not verified: Not described beyond the in-person signing.
The form asks for: name and identifying information, signature, a photo affixed at signing.
- Ho-Chunk Gaming — Wisconsin Voluntary Self-Exclusion Form ho-chunkgaming.com · read 2026-10-01
- Ho-Chunk Gaming Madison — home page, Need Help section ho-chunkgaming.com · read 2026-10-01
- Ho-Chunk Gaming Wisconsin — location chooser ho-chunkgaming.com · read 2026-10-01
- Ho-Chunk Gaming Wisconsin Dells — Voluntary Self-Exclusion Form (2025 revision) ho-chunkgaming.com · read 2026-10-01
- Wisconsin DOA — Indian Gaming FAQ doa.wi.gov · read 2026-10-01