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 North Country Heart Walk
Event ID9821
Participant ID27156558
Participant NameJanielle Siver
Team NameThe Beat Goes on for Dan(ENT/Gen Surg Group)
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: North Country Heart Walk | 444 Liberty Ave, Ste 1300 | Pittsburgh, PA 15222