The Worldwide Welsh Community Website

Registration Form

PLEASE COMPLETE ALL FIELDS except those marked * which are optional and need only be completed if you would like to be kept updated by mail or telephone. No information will be passed to third parties.

Please confirm where you were born, or where you lived in Wales.

Born in Wales - village / town/ city:

and county:

Lived in Wales - village / town/ city:

and county:

When did you leave Wales?

How long do you intend to stay out of Wales?

If you have an affinity for Wales but were neither born there or lived there please indicate your connection to Wales:

One or both of my parents were born in Wales before emigrating:
One or both of my grand-parents were born in Wales before emigrating:
One or both of my parents lived in Wales before emigrating:
One or both of my grand-parents lived in Wales before emigrating:
None of the above - I just have a strong affinity for Wales and all things Welsh:

(If your partner, any other relative, or friends were also born or lived in Wales please ask them to fill in a separate questionnaire.)

Your details:

Title:

First name:

Other name(s):

Surname:

Address1*:

Address2*:

Address3*:

Village / Town/ city:

County / State / Province / Territory:

Postcode / zip code:

Tel number *:

E-mail address:

Your occupation:

Your age:
16-20 21-30 31-40 41-50 51-60 61-70 71-80 over 80
Where did you hear of this website?:

Hobbies and Interests

Please list your main hobbies and interests, e.g. music (jazz), cooking, rugby, walking, travel, etc.

Meeting other Welsh people

If you are you a member of local / national Welsh Association(s), please name them here:


If you would you like to hear from other Welsh people that will be visiting or coming to live in or near where you live, please tick here.

If you have a business, would you be interested in promoting it to other Welsh people either living in your area or planning to visit your area? please tick here:

If Yes please specify the type of business: (e.g. hotel, gift shop ...)

Communication in Welsh

Can you read in Welsh?: Can you write in Welsh?: Can you speak Welsh?:

If you can communicate in Welsh did you learn:

in Wales: or after leaving Wales:

Hiraeth newsletter

If you would like to receive regular updates about this project, please tick here: