WA Honours and Awards Nomination

Do you know someone who’s gone above and beyond in promoting water safety, lifesaving, or community service? Help us celebrate their efforts by nominating them for a WA Honours & Awards recognition!

If you would like to nominate someone for an award, please fill in the form below.

Section 1: Nominator's Details

Your Given Name *

Your Surname *

Your Email *

Your Phone Number *

Organisation Name (if not Royal Life Saving)

Section 2: Nominee's Details

Nominee's Given Name(s) *

Nominee's Surname *

Nominee's Email *

Nominee's Organisation Name

Section 3: Nominee's contributions to, achievements and participation with Royal Life Saving Society WA

Award Category *

Specific Award nominated (please refer to nomination criteria above) *

Details of Service *Types of service, contribution and overall commitment provided to Royal Life Saving WA

Other recognition of achievements, previous awards and years awarded *