SLIDING SCALE SUPPORT
We support our fellow female leaders, as well as recognize that financial challenges have visited us all at one time or another. Therefore, we have a lowered scholarship rate, based on your personal compass of integrity, of what you may be able to budget in order to spend time with us and support yourself.

Our Community Service Special rate invites you to be on retreat with us. These two options do require a minimal donation commitment from you as we know contribution creates connection. Not all requests will be fulfilled, yet we do want as many at the table as possible!

Friend of Patch : $199 + Ticketing Fee
Buddy of Patch Rate: $149 + Ticketing Fee

Tell us about your leadership role, where you serve and how your being able to be part of this Disconnect to Reconnect Retreat may support your organization and yourself?

Name *

First

Last

Phone Number *

Email *

Title/Position

Social Handles

Organization

Certification

Tell us about your leadership role, where you serve and how your being able to be part of this Disconnect to Reconnect Retreat may support your organization and yourself? *

able Phone may

Have you been to Patch before?

• Yes
• Not Yet

Which scholarship support level are you requesting to be considered for?

• Friend of Patch – $199
• Buddy of Patch – $149

If you are applying with a friend or colleague, please share their name and describe their role as a female leader. *

Submit