Use the form below to submit nominations for the 2018 Butterfly Awards.

If you would like to read the category descriptions before nominating please visit

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

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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 8 per category by the Butterfly Awards Team, which will then progress to the public voting stage, each shortlisted person will receive a score of 1-8 from the number of public votes, there after the judging panel will score each profile within a category 1-8.

These combined scores will determine the winner for each category.

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

Try to make your nomination stand out, include as much as possible, check spelling and grammar so that it is easy to read, as we may receive many, many applications.

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

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