Registration Form

If you have already registered on the website, please do not register again. Click here to sign in.

Otherwise, you may register here. Please contact Kara D’Angelo to obtain a Registration Key before you begin.

Organization *

Email Address *

Confirm Email Address *

Enter Password

Confirm Password

User Name * (5 - 10 chars, no spaces)

First Name *

Last Name *

Title *

Phone *

Website *

Address Line 1 *

Address Line 2

City *

State *

Zipcode *

My organization meets the requirements specified in the Grant Application Overview page, and I agree to the terms of use.

Registration Key *

Next proposal deadline: December 13 for a February/March Board meeting!

Please call or email Kara D’Angelo with questions at:

The Patrina Foundation
901 Pelhamdale Avenue
Pelham, NY 10803