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 Lancaster Heart Walk
Event ID10743
Participant ID26534020
Participant NameLara Kipphorn
Team NameThe Rack Pack
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Lancaster Heart Walk | 4250 Crums Mill Road, Suite 100 | Harrisburg, PA 17112