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 ID2025350
Participant NameKim Pieniazek
Team NameLoyola Population Health
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