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 Capital Region Heart Walk and Run
Event ID9923
Participant ID26312761
Participant NameKatherine Heller
Team NameD1 - Heartbeats
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Capital Region Walk/Run | Four Gateway Center, 444 Liberty Ave, Ste 1300 | Pittsburgh, PA 15222