If you think a boater would benefit from the help or support of our volunteers complete the form below. If you are concerned about a boaters welfare concern then click here to report a safeguarding concern.

Your Name (Person making the self referral or nomination)
This should be the name of the person submitting this form
This should be the email address of the person submitting this form
This should be the phone number of the person submitting this form
Are you making a self referral or nominating another boater to receive help?
The boater lives more than 50% of the time on a boat on the Lancaster Canal.
We are unable to help if the boater does not fulfill the above criteria. This applies to self referrals AND nominees
The boater has consented to recieving a phone call and/or email from the Lancaster Canal Boaters Association
Name of boater nominated to receive help from the Lancaster Canal Boaters Association
If you are making a self referral, please leave this blank. If you are making a Nomination, enter the Name of the nominee. You must have the nominee’s consent to give us their details.
If you are making a self referral, please leave this blank. If you are making a Nomination, enter the phone number of the nominee. You must have the nominee’s consent to give us their phone number.
If you are making a self referral, please leave this blank. If you are making a Nomination, enter the email of the nominee. You must have the nominee’s consent to give us their email address.
What kind of help is being requested from the Lancaster Canal Boaters Association?