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 Central PA Heart Walk
Event ID10773
Participant ID
Participant Name
Team NameTeam TIMBER
Team ID858435
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Central PA Heart Walk | 4250 Crums Mill Rd, Ste 100 | Harrisburg, PA 17112