Join Personal InformationYour REAL Full Name(Required) First Middle Last Gender(Required)Select a GenderFemale Male Non-IdentifyingBirth Date(Required) MM slash DD slash YYYY Your email address(Required)Please check carefully. City(Required) State(Required) Country(Required)Choose your CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweInformation about your lossWidowed Village authenticates widowed status.Please share your late loved one's full name.(Required) Please share the date of your loss.(Required) MM slash DD slash YYYY Were you widowed more than once?(Required) Yes No Please share your late loved one's full name.(Required) Please share the date of your loss.(Required) MM slash DD slash YYYY What was the cause of your person's death?(Required)Select a CauseAddiction COVID-19 Illness Sudden Suicide HomicideRelationship Type(Required)Select a TypeMarried: Opposite Sex Married: Same Sex Engaged/Life Partner: Opposite Sex Engaged/Life Partner: Same SexParenting Status(Required) Parent of minor(s) Parent of adult(s) No children Were you widowed while you (or your spouse) were pregnant?(Required) Yes No How did you hear about Widowed Village?Select a SourceSoaring Spirits International website Received Newly Widowed Packet At Camp Widow A friend's recommendation Funeral Home or Hospice Grief Counselor Online SearchAccount InformationUsername(Required) Profile NameYour first name and the first letter of your last name is the default if none is selected Password(Required) Enter Password Confirm Password Strength indicator Receiving Broadcasts?(Required) Yes No Receiving Emails?(Required) Yes No Allow members to send you messages?(Required)This option will allow other members to send you messages via the Widowed Village Messenger. Your email will not be visible within the Messenger. Yes No Widowed Pen Pal(Required)Would you like to be included in our Widowed Pen Pal program, which connects you with 1-3 widowed people of the same sex, for corresponding by phone, email, or in any other way? Note: This is NOT a dating service. Widowed Pen Pal is a database which "matches" your characteristics with others for friendship and mutual support. (You can opt in later if you change your mind). Yes I'd like to be matched with a Widowed Pen Pal No thanks Anything else you'd like to share or ask?Would you like to add a statement about you to your profile page?For example, the URL of a blog? This answer will be VISIBLE on your profile page.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.