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 Southeastern Oklahoma Heart Walk
Event ID11687
Participant ID
Participant Name
Team Name
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: SE OK Heart Walk | 3401 NW 63rd St, Ste 510 | Oklahoma City, OK 73116