ScoutNameImmunizationsEmergencyContactPartADateof BirthAllergiesAdultsAuthorizedto Pick UpUnitLeader’sNameHealthHistoryCouncilNameUnitNumberHeightAddressParentNamePartBParentPhoneNumberAgeWeightMedicationsAsthmaInformedConsentInsuranceCompanyBBDeviceOpt-OutParentSignatureScoutNameImmunizationsEmergencyContactPartADateof BirthAllergiesAdultsAuthorizedto Pick UpUnitLeader’sNameHealthHistoryCouncilNameUnitNumberHeightAddressParentNamePartBParentPhoneNumberAgeWeightMedicationsAsthmaInformedConsentInsuranceCompanyBBDeviceOpt-OutParentSignature

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