A Night of Celebration
Nomination
Community Spirit Award
Recognising organisations, community groups and individuals who make a difference by raising awareness and/or funds in support of Zoe’s Place.
Name
Name of Group/Organisation
Reason(s) for nomination
*
Volunteer of the Year(s) Award
A volunteer who has demonstrated exceptional and consistent dedication to Zoe’s Place over the past 15 years.
Name of Nominee (002)
*
First Name
Last Name
Reason(s) for nomination
*
Zoe's Place Heart Award
Recognising an individual who goes above and beyond to support and make a difference to Zoe’s Place.
Name of Nominee (003)
*
First Name
Last Name
Reason(s) for nomination
*
Fundraiser of the Year(s) Award
Recognising a dedicated fundraiser who has raised significant funds over the years and has been a passionate champion of Zoe’s Place.
Name of Nominee (004)
*
First Name
Last Name
Reason(s) for nomination
*
Name of Nominator
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Are you happy for us to contact you to help notify the nominee if they are selected?
*
Yes, I’m happy to be contacted
No, I’d prefer not to be contacted
By completing this form, you understand that you are providing your personal data to Zoe’s Place Baby Hospice and giving your consent for the charity to process your details.
*
Yes
Submit
Should be Empty: