AdultsAuthorizedto Pick UpParentNameEmergencyContactPartAWeightParentPhoneNumberParentSignatureAsthmaUnitNumberInformedConsentCouncilNameHealthHistoryHeightMedicationsBBDeviceOpt-OutInsuranceCompanyDateof BirthAddressPartBScoutNameAllergiesAgeUnitLeader’sNameImmunizationsAdultsAuthorizedto Pick UpParentNameEmergencyContactPartAWeightParentPhoneNumberParentSignatureAsthmaUnitNumberInformedConsentCouncilNameHealthHistoryHeightMedicationsBBDeviceOpt-OutInsuranceCompanyDateof BirthAddressPartBScoutNameAllergiesAgeUnitLeader’sNameImmunizations

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