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 Philadelphia Heart Walk
Event ID10783
Participant ID28401233
Participant NameCiarra Dougherty-Colon
Team NameParty Heart-y
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Philadelphia Heart Walk | 1617 JFK Blvd, Ste 700 | Philadelphia, PA 19103