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 ID
Participant Name
Team NameThe Beat Goes On
Team ID843742
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