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 Ashtabula County Heart Walk & Run
Event ID10913
Participant ID28501312
Participant NameKaron Jewell
Team NameTAC ASH FHC
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Ashtabula County Walk/Run | 1375 E 9th St, Ste 600 | Cleveland, OH 44114