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 Wayne County Heart Walk
Event ID10915
Participant ID28505122
Participant NameJennifer Shipley
Team NameEVS Dust Busters!
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Wayne County Heart Walk | 1575 Corporate Woods Pkwy | Uniontown, OH 44685