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 Capital Region Heart Walk
Event ID10729
Participant ID28532396
Participant NameLorelei Cable-Burns
Team NameUPMC Clotbusters
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Capital Region Heart Walk | 4250 Crums Mill Rd, Ste 100 | Harrisburg, PA 17112