Release Form - IPBA

The Release Form should be used when a player leaves a band. (not when transferring from one band to another ‘in season’)

To be completed by releasing band

First Name*

Last Name*

Email*

Street Address1*

Street Address2*

Eircode*

Date*

Releasing Band:*

Declaration*

We confirm that all equipment has been returned and all outstanding monies paid.

Signed (P/M)*

Signed (Chairperson / Secretary)*

The release form will be deemed invalid until you receive a confirmation Email from the IPBA registrar.