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 CSRA Heart Walk
Event ID9846
Participant ID27321548
Participant NameBarbara Smith
Team NamePiedmont Augusta Heart and Brain
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: CSRA Heart Walk | 2801 Washington Road Suite 107, #379 | Augusta, GA 30909