Del Ray Alumni
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D.R.A. Membership Application & Information Form




Full name:______________________________________________________________
                           first                     middle                           family                   married (if applicable) 

Current Address________________________________________________________

City/State/Zip___________________________________________________________

Phone# (_____)______-______-_________
Email Addr___________________________

Answers to ALL the following questions should ONLY pertain to your life while in Del Ray. 

 Last DelRay Address___________________________________________________ 

           List all “nicknames”,  you were known by in Del Ray… 
           (in order of frequency of use) 
          1)__________________________________
          2)__________________________________
          3)__________________________________
          4)__________________________________

           List the year your family moved into Del Ray.  _____________ 

           List the years YOU “lived” in Del Ray. 
                         from: _________________to:_____________________ 

           List the streets where you lived in Del Ray. 
           (Addresses, if you remember!) 
          1)__________________________________
          2)__________________________________
          3)__________________________________
          4)__________________________________

           List the schools (and years) you attended. 
          1)__________________________________
          2)__________________________________
          3)__________________________________
          4)__________________________________

           List any of your teachers that you can remember. 
          1)__________________________________
          2)__________________________________
          3)__________________________________
          4)__________________________________

           List the sports, activities, clubs or organizations that 
            kept you in or out of trouble. 
          1)__________________________________
          2)__________________________________
          3)__________________________________
          4)__________________________________

           Describe YOUR most memorable event while growing up 
           in Del Ray. 
 
 
 
 
 
 

                            After completing this form, please mail it to: 
                                     Dave Beach 
                                     1936 Rockingham St. 
                                     McLean, Va. 22101

Note: There are NO FEES TO JOIN our Del Ray Alumnus group. 

REV 02/05/01
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