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 Greater Cleveland Heart Walk
Event ID10701
Participant ID17707204
Participant NameJeremy Rupert
Team NameJeremy Rupert's Team
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Cleveland Heart Walk | 1375 East 9th St, Ste 600 | Cleveland, OH 44114