Patches may be laughable to the devoted/serious players you'll find on AZB, but I can assure you that the typical APA player really does care about them.
A slight clarification from this somewhat devoted APA player...
I don't much care about the patch itself, but winning one is kinda cool.
Yes, I'm a beginner, and accomplishing what it takes to win one of these patches is childs play to the majority of posters here. (At least to what they'll admit, heh.) And I don't think you'll have to worry about seeing any of those patches ever displayed on anything I would wear. To tell the truth, I only recall seeing one or two people wearing anything with one of those patches on them in over a year. And they were from a different part of the state than me, none of the people in our league sport any of that stuff. The couple that I have are in a drawer somewhere.
It is the accomplishment that's important, as slight as that may be to the more experienced player.