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 Name2025 Omaha Heart & Stroke Walk
Event ID11400
Participant ID
Participant Name
Team Name
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Omaha Heart & Stroke Walk | 9900 Nicholas St, Ste 200 | Omaha, NE 68114