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 Coachella Valley Heart & Stroke Walk
Event ID10708
Participant ID24184189
Participant NameSophia Hase
Team NameWest Coast Foot and Ankle Center
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Coachella Valley Walk | 5251 California Ave, Ste 230 | Irvine, CA 92617