ScoutNameUnitNumberMedicationsAddressAllergiesInsuranceCompanyParentNamePartADateof BirthParentSignaturePartBAdultsAuthorizedto Pick UpAgeImmunizationsCouncilNameWeightUnitLeader’sNameEmergencyContactHealthHistoryHeightParentPhoneNumberBBDeviceOpt-OutInformedConsentAsthmaScoutNameUnitNumberMedicationsAddressAllergiesInsuranceCompanyParentNamePartADateof BirthParentSignaturePartBAdultsAuthorizedto Pick UpAgeImmunizationsCouncilNameWeightUnitLeader’sNameEmergencyContactHealthHistoryHeightParentPhoneNumberBBDeviceOpt-OutInformedConsentAsthma

Health Form Bingo - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Scout Name
  2. Unit Number
  3. Medications
  4. Address
  5. Allergies
  6. Insurance Company
  7. Parent Name
  8. Part A
  9. Date of Birth
  10. Parent Signature
  11. Part B
  12. Adults Authorized to Pick Up
  13. Age
  14. Immunizations
  15. Council Name
  16. Weight
  17. Unit Leader’s Name
  18. Emergency Contact
  19. Health History
  20. Height
  21. Parent Phone Number
  22. BB Device Opt-Out
  23. Informed Consent
  24. Asthma