Nominate

Use the form below to submit nominations for the 2017 Butterfly Awards.

 

First Name:*
Last Name:*
Your E-mail:*

You will automatically be subscribed to our emailing list. Emails will only ever be in relation to the Babyloss STAR activities which includes the awards, you may opt out at anytime. Please answer the following question to allow us to send you relevant newsletters.

Are you?:*

Please nominate the people who have inspired you, or helped you or whose work you admire. Please note that all of the nominations will be shortlisted up to 12 per category by the event organisers, which will then progress to the public voting stage, each shortlisted person will receive a score of 1-12 from the number of public votes, there after the judging panel will score each profile within a category 1-12.

These combined scores will make the winner for each category.

The initial shortlist will be chosen based upon the information that you supply on this form.

Please take care to ensure that you have provided as much information as possible about the nominee. For example if you are nominating a parent tell us their story, if you are nominating someone who has helped you tell us your story and as much as possible about why they have helped. If you are nominating an organisation, don't assume we know who they are and what they do, tell us this. Tell us what makes your nominee unique and why you believe that they should win an award.

We accept nominations which relate to baby loss during pregnancy up until 18 months of age.

Try to make your nomination stand out, as we may receive many, many applications.

Read our full Terms and Conditions here.

Nominee Name:*

Please supply at least one method of contact information so that we can get in touch with your nominee. If you include an email address of your nominee, they will instantly be sent a copy of your nomination.

Nominee E-mail:
Phone:
Nominee Home/Work Address (UK Only):
Nominated Award Category*
Reasons for Nomination*

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