La Porte Texans and Darlings
2016 Season
Registration Information
Please fill out and proceed to the computers
Child’s Information
Last Name:
First Name:
Middle Initial:
Address:
City:
Zip:
Home Phone:
E-Mail Address:
Insurance Company:
School:
Family Physician:
Phone:
Last Name:
First Name:
Mother’s Information
Cell Phone:
Employer:
Father’s Information
Grade Starting 2016:
Date Of Birth:
Last Name:
First Name:
Cell Phone:
Employer:
2016 La Porte Texans & Darlings
Rules & Regulations
FOOTBALL TEAM MEMBERS AND PARENTS
We are looking forward to working with you and your child this season. Now that your child is a member of the La Porte
Texans, it is important that you understand the rules set by Texas Intercity Football Inc (TIFI) and the La Porte Texans and
Darlings (LPTD) Booster Club.
ON THE FIELD
During practices, we ask that the parents remain off the field. The field is reserved for the players and staff ONLY. We ask
for this because we want to be able to have a successful practice each day and we feel that the players will pay attention
to instruction. We ask that during practice you DO NOT INTERRUPT unless it is an emergency. If you feel what you have
to ask cannot wait, please approach us either before or after practice and away from the players. In compliance with TIFI
Conference rules, parents are not allowed on the sidelines of the field during games. The field is reserved for Officials,
Team Members, Drill Director, Drill Staff, and LPTD Board. Anyone in violation of this rule will result in personal and club
fines form the TIFI Conference, so please help us by keeping everyone, including children behind the designated areas.
PRACTICE
The La Porte Darlings will practice at Baker 6th Grade Campus, and the Texans will practice at Little Cedar Bayou Park.
Practice starts Monday August 1st @ 6:00 PM and ends at 7:30 PM. Practice will be held every day expect Sunday for the
first 3 weeks. After the season starts, practice will be 3 days a week (Monday, Tuesday, and Thursday). Thursday practice
will be from 6:00 to 8:00. Please make sure that a director or coach is on the field when you drop off your child for practice
and please be prompt when picking up your child from practice. Please NEVER leave your child unattended at a game.
EQUIPMENT
Each child will be issued necessary equipment; you are responsible for the equipment. If equipment is lost, you must
reimburse the club. This includes but is not limited to game socks and mouthpieces. All equipment issued to you must
be returned at the end of the season.
DISCIPLINARY RULES
1. If any player should miss 2 practices in one week, they are not eligible to play in that week’s game.
2. The appropriate coaches, player agent, and Athletic Director will handle all disciplinary actions.
3. All problems will be handled through the LPTD chain of command. The chain is as follows:
 Head Coach of the appropriate team
 Athletic Director
 Club President
PLEASE BE SURE TO READ YOUR RULES AND REGULATIONS. IF YOU DO NOT UNDERSTAND ANYTHING IN THE RULES
AND REGULATIONS, PLEASE FEEL FREE TO CONTACT THE ATHLETIC DIRECTOR.
PARENT KEEPS
Parents’ Code of Ethics
I hereby pledge to provide positive support, care, and encouragement for my child participating in youth
sports by following this Parents' Code of Ethics Pledge:
I will encourage good sportsmanship by demonstrating positive support for all players, coaches, and officials at
every game, practice or other youth sports event.
I will place the emotional and physical well-being of my child ahead of my personal desire to win.
I will insist that my child play in a safe and healthy environment.
I will require that my child's coach be trained in the responsibilities of being a youth sports coach and that the
coach upholds the Coaches Code of Ethics.
I will support coaches and officials working with my child, in order to encourage a positive and enjoyable
experience for all.
I will demand a sports environment for my child that is free from drugs, tobacco and alcohol and will refrain
from their use at all youth sports events.
I will remember that the game is for youth; not adults.
I will do my very best to make youth sports fun for my child.
I will ask my child to treat other players, coaches, fans and officials with respect regardless of race, sex, creed
or ability.
I will implement and enforce the national standards for youth sports.
I promise to keep informed about current issues involving youth sports programs.
Parent Printed Name
La Porte Texans & Darlings
Booster Club Name
Parent Signature
Date
Players’ Code of Ethics
I hereby pledge to be positive about my youth sports experiences and accept responsibility for my
participation by following this Players' Code of Ethics pledge:
I will encourage good sportsmanship from fellow players, coaches, officials and parents at every game and
practice by demonstrating good sportsmanship.
I will attend every practice and game that I can, and will notify my coach if I cannot.
I will expect to receive a fair and equal amount of playing time.
I will do my very best to listen and learn from my coaches.
I will treat my coaches, other players, officials and fans with respect regardless of race, sex, creed, or abilities
and I will expect to be treated accordingly.
I deserve to have fun during my sports experience and will alert parents or coaches if it stops being fun.
I deserve to play in an environment that is free from drugs, tobacco and alcohol and expect adults to refrain
from their use at all youth sports events.
I will encourage my parent to be involved with my team in some capacity because it is important to me.
I will do my very best in school.
I will remember that sports participation is an opportunity to learn and have fun.
Player Name
Date
Player Signature
La Porte Texans & Darlings
Booster Club Name
Sport
Texas Intercity Football, Inc. La Porte Texans and Darlings Booster Club
HEALTH RECORD & CONSENT TO TREAT
Team:
☐
Pee-Wee
☐
Freshmen
☐
☐
Sophomore
Child’s Name:
Junior
☐
Senior
DOB:
Parent(s)/Legal Guardian(s):
Phone:
Address:
City:
Zip:
IN CASE OF EMERGENCY, NOTIFY:
Parent (Designee):
Relationship:
Other Emergency Name:
IMPORTANT:
Name:
Phone:
In absence of a parent, the following persons have my written and notarized permission to act
on my behalf:
Phone:
Name:
Phone:
INSURANCE INFORMATION:
Family Health Insurance Company:
Policy #:
Insurance Company Address (City, State)
Parents Employer:
Phone:
Does this insurance cover this child during participation in this program?
Yes
No
This above named child is also covered by an "excess" policy through Texas Intercity Football, Inc.
In the event of action requiring TIFI insurance, please contact your Booster Club for directions.
NOTE THAT THERE IS A $500 DEDUCTIBLE PER INCIDENT WHEN USING THE TIFI POLICY; THIS IS OVER AND
ABOVE ANY FAMILY HEALTH INSURANCE POLICY YOU MAY HAVE.
HEALTH HISTORY OF CHILD NAMED ABOVE:
Does child have, or is child subject to any of the following? (Check)
Asthma
Diabetes
Heart Trouble
Sports Restrictions
Allergy
Other:
Fainting Spells
Convulsions
CONSTENT TO TREAT:
The information given above is correct to the best of my knowledge. In the event of any emergency and I cannot
be reached, I hereby give permission to licensed, competent medical authorities to administer medical treatment
to my child, named above.
(Signed by Parent/Guardian)
Date:
This signature witnessed by me this
day of
, 20
and bears my seal below:
(Seal)
Texas Intercity Football, Inc.
La Porte Texans & Darlings
Spring 2016 Fundraiser
All Players must sell $240 or buy out for $150
All Fundraiser Money is Pre-Paid at Registration
Checks and money orders made payable to LPTD
**ALL FUNDRAISER MONIES ARE NON-REFUNDABLE**
If you have any questions, please contact:
Jamie Williamson 281-300-3960
[email protected]
Visit us at www.lptexansdarlings.com
PARENT KEEPS
2016 La Porte Texans & Darlings Fee Policy
Texans
Pee-Wee
Freshmen
Sophomore
Junior
Senior
Drill
Darlings
Stars
Child’s Name:
***Initial next to each of the terms below***
The organization WILL NOT allow any equipment that the member has
been issued and is supposed to keep to be returned in lieu of money
owed to the league.
NO EQUIPMENT will be issued until all outstanding balances are paid IN
FULL.
Money turned in will always be EQUALLY DISTRIBUTED among
members in cases of families with more than one child in the league.
Money received after 7/1/2016 must be paid by cash, money order, or
cashier’s check. NO PERSONAL CHECKS WILL BE ACCEPTED AFTER THIS
CUT OFF DATE.
I have read and agree to abide by the above terms. I understand that I am financially responsible
for the registration fees and the fundraiser by means of product or buy-out.
Parent/Guardian Signature:
Texas Intercity Football, Inc.
La Porte Texans & Darlings
PROMISSORY NOTE
FOR VALUE RECEIVED, the undersigned promise(s) to pay TIFI/La Porte Texans and Darlings the principal sum of $
dollars in 3 separate installments. Please write post-dated checks.
1st installment due today (
), in the amount of $
2nd installment due 6/1/2016, in the amount of $
.
.
3rd (and final) installment due 7/1/2016 in the amount of $
.
Payments made after today must be made by cash, in person, or by money order and mailed to:
LPTD
P.O. Box 354
La Porte, Texas 77572
To secure the payments of above amounts, the undersigned hereby acknowledges that all monies due MUST be paid in full or
equipment/uniforms will not be issued to the child (or children) and they will not be able to participate. Furthermore, the child (or
children) will lose their place on the team after a 7 day grace period. All fund raising monies are NON-REFUNDABLE.
If this note is in default and is placed for collection, the borrower shall pay all reasonable costs of collection and/or attorneys' fees.
Borrower Name – Print
Borrower Signature
Child’s Name
Date
TIFI | LPTD Representative
**IMPORTANT DATES**
LA PORTE TEXANS & DARLINGS
July 30th
EQUIPMENT HAND-OUT
July 31st
WAVE POOL PARTY
AUGUST 1st
FIRST DAY OF PRACTICE
AUGUST 13TH
SCRIMMAGE GAME
AUGUST 20th
1st GAME – LA PORTE COWBOYS
DECEMBER 17TH 5-8p.m.
BANQUET – JIMMY BURKE CENTER
PARENT KEEPS
LA PORTE TEXANS & DARLINGS BOARD OF DIRECTORS
http://www.lptexansdarlings.com
PRESIDENT
Shane Gordon
281.594.1404
[email protected]
VICE PRESIDENT
Greg Goins
713.447.4490
[email protected]
SECRETARY
Dory Allen
713.582.3801
[email protected]
TREASURER
Delma McEvoy
832.512.0031
[email protected]
WAYS & MEANS
Jamie Williamson
281.300.3960
[email protected]
PUBLICITY
Kelly Kay
281.468.2171
[email protected]
GATE SALES
Kristin Martin
281-642-9269
[email protected]
HEAD TEAM MOM
Kelli Bottera
832.922.1631
[email protected]
CONCESSION
Jamie Williamson
281.300.3960
[email protected]
SPONSORSHIPS
Chris Summers
281-222-2065
[email protected]
FOOTBALL REPRESENTATIVES
ATHLETIC DIRECTOR
Chad Kaminski
281.620.2526
[email protected]
ASST. ATHLETIC DIRECTOR
Billy Bottera
713.923.0637
[email protected]
EQUIPMENT MANAGER
Robert Duarte
516.476.4566
[email protected]
FIELD MAINTENANCE
Shane Gordon
281.594.1404
[email protected]
PLAYER AGENT
Open Position
***.***.****
[email protected]
DRILL REPRESENTATIVES
DRILL DIRECTOR
Sherry Jones
832.385.7893
[email protected]
CHEER DIRECTOR
Brittany Johnson
###.###.####
[email protected]
DRILL AGENT
Lisa Sanchez
832.876.5435
[email protected]
STARS DIRECTOR
ASST. DRILL DIRECTOR
Lisa Sanchez
832.876.5435
[email protected]
PARENT KEEPS
La Porte Texans and Darlings
P.O. Box 354
La Porte, TX 77572
Dear Local Business,
The La Porte Texans and Darlings is a non-profit organization that involves over 200 children in our community from ages
7 to 12. Our organization could not exist as it does without the sponsorship and generosity of organizations such as yours.
The sponsorship funds enable our organization to purchase the needed football and drill equipment and maintain the
safety of our children.
There are several children in our community that cannot afford to pay the fees to participate in our program. We rely on
the generosity of local companies and organizations to help us cover those fees. Our program supplies equipment,
insurance, and a safe place to play for the children. We don’t want any child to miss the opportunity to share this
experience due to financial obligations.
If you choose to sponsor the La Porte Texans and Darlings with a contribution of at least of $410 Football/$635 Drill, you
will receive a plaque at the end of the season thanking you for your support that you can display. Our sponsors are also
proudly listed on our website, yearbook and on a banner that is displayed at all home games. Any donation is appreciated,
however $410 Football/$635 Drill is the amount that would give a child a chance to participate.
I hope that your company will be able to help us out. If you have any questions, please do not hesitate to contact me.
Our tax id for your records is 23-7434491. Thank you for your time.
Sincerely,
La Porte Texans and Darlings
http://www.lptexansdarlings.com
PARENT KEEPS