Floaty Boat Pay It Forward - Nomination Form Winter 2022

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Complete this quick form if you'd like to nominate someone (or yourself) to receive coal or wood (2x bags of coal 3x wood sacks) on the next fuel boat run between Bath & Wootton Rivers.

If you wish to make a donation to the pay it forward scheme this winter, please get in contact with one of the following:

Sarah & Lee on Aquillion. (West End) 07384507192
Spencer & Victoria at The Boatyard. (West End) 07790017418

Karen & Ed on Fredrick the fuelboat. (East end) 07508 904378

*Please note this is not a winter fuel grant.

Your Name (You can leave this blank if you wish to remain anonymous)

Name of the boater you would like to nominate to receive an extra bag of coal/net of wood *

What is their boat name/ description? Please provide as much detail as possible or identifying features! *

Please describe the mooring location so the fuel boat can deliver *

Fuel Source (please choose one) *

Coal

Wood

Not Sure

Floaty Boat's Pay it Forward is a little helping hand to get someone through a tough week. However, if you feel you (or someone you're nominating) is facing additional welfare needs, it may helpful to connect in to additional support.

Yes - I'd like Floaty Boat to refer this individual's details to Julian House who may be able to provide additional caseworker support

No thanks

Clear selection

Contact Number

Please tick to show you've understood the following:

There is no guarantee the fuel boat can deliver, as sometimes demand may exceed what's in the Pay it Forward pot, but everyone will do their best

Once I've completed this form, there's no more for me to do. Floaty Boat will contact the local fuel boat and arrange for the additional bag of coal/net of wood be delivered in the next scheduled run

If I want to make a donation to the Pay It Forward pot I can contact my local fuel boat and add a little onto my bill

Submit

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