Please display my name on the participant's public donor wall as:
Please do not display my name on the donor wall.
Participant Information
Event Name2024 Erie Heart Walk
Event ID10756
Participant ID
Participant Name
Team Name
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Erie Heart Walk | 4250 Crums Mill Road, Suite 100 | Harrisburg, PA 17112