Nominate a Family

Do you know a Western Australian family facing serious hardship or illness? Help us help them — submit a nomination and our team will be in touch.

"We assess every nomination with care, compassion and full confidentiality."

Nominations are open to any Western Australian family experiencing significant hardship, serious illness, or crisis. We prioritise rural and regional families who often have limited access to support services. All information is handled with the utmost discretion.

Nomination Form

Tell Us About
Their Story

Please fill in as much detail as you can. The more context you provide, the better we can assess how Hurt to Help can support this family. All submissions are treated with complete confidentiality.

About You — The Nominator

Your First Name *

Your Last Name *

Your Email Address *

Your Phone Number

Your Relationship to the Family *

About the Family

Family / Recipient Name *

Location (Town / Region) *

Nature of Hardship / Circumstances *

How Could Hurt to Help Support Them?

Has the Family Given Permission for This Nomination?

Consent & Declaration

I confirm that the information I have provided is accurate to the best of my knowledge. * I understand that Hurt to Help will handle this nomination in strict confidence and that not all nominations may be accepted. * I give permission for Hurt to Help to contact me for further information if needed.

🔒 Your Privacy Matters All information submitted through this form is treated with complete confidentiality. Personal details will only be used to assess this nomination and will never be shared with third parties without consent. Please refer to our Privacy Policy for full details.

✓

Thank You!

We've received your nomination and our team will review it with care. We'll be in touch within 5–7 business days. Thank you for thinking of this family and for being part of the Hurt to Help community.

Who We Help

Western Australian families facing serious illness or medical diagnosis

Rural and regional families with limited access to support services

Families experiencing significant financial hardship related to a health crisis

Families referred by medical professionals, community workers or trusted community members

What Happens Next

We Review Our team reviews every nomination carefully and confidentially, usually within 5–7 business days.

We Connect If we'd like to proceed, we'll reach out to you and, with permission, to the family directly.

We Plan We work with our athletes and community to plan a fundraising campaign tailored to the family's needs.

We Help 100% of funds raised go directly to the family. We share their story (with consent) to inspire our community.

Nominate a Family

Tell Us AboutTheir Story

Thank You!

Tell Us About
Their Story