Join Personal InformationYour REAL Full Name* First Middle Last Gender*Select a GenderFemale Male Non-IdentifyingBirth Date* Date Format: MM slash DD slash YYYY Your email address*Please check carefully. City*State*Country*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.*Please share the date of your loss.* Date Format: MM slash DD slash YYYY Were you widowed more than once?*YesNoPlease share your late loved one's full name.*Please share the date of your loss.* Date Format: MM slash DD slash YYYY What was the cause of your person's death?*Select a CauseAddiction COVID-19 Illness Sudden SuicideRelationship Type*Select a TypeMarried: Opposite Sex Married: Same Sex Engaged/Life Partner: Opposite Sex Engaged/Life Partner: Same SexParenting Status* Parent of minor(s) Parent of adult(s) No children 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*Profile NameYour first name and the first letter of your last name is the default if none is selectedPassword* Enter Password Confirm Password Strength indicator Receiving Broadcasts?*YesNoReceiving Any Emails?*YesNoWidowed Pen Pal*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 PalNo thanksAnything 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.CAPTCHANameThis field is for validation purposes and should be left unchanged.