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 Metro Chicago Heart Walk
Event ID10702
Participant ID19718347
Participant NameRosemary Czysz-Hineline
Team NameFleet Heart Heroes
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Metro Chicago Heart Walk | 300 S Riverside Plaza, Ste 1200 | Chicago, IL, 60606