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 Name2025 Capital Area Heart Walk
Event ID11476
Participant ID
Participant Name
Team Name
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Capital Area Heart Walk | 110 Veterans Memorial Blvd, Ste 160 | Metairie, LA 70005