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 Crossroads Heart & Stroke Walk
Event ID9844
Participant ID26953168
Participant NameMichelle Rodriguez
Team NameBlazing Hearts
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Crossroads Heart & Stroke Walk | 12345 N Lamar Blvd., Ste 200 | Austin, TX 78753