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 Indianapolis Heart Walk
Event ID10700
Participant ID28527188
Participant NameMike Shields
Team NameSouth Indy
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Indy Heart Walk | 8720 Castle Creek Pkwy E Dr #100 | Indianapolis, IN 46250