AddressCouncilNameHealthHistoryImmunizationsParentPhoneNumberParentNameUnitNumberParentSignatureUnitLeader’sNameScoutNamePartAAgeAsthmaHeightAllergiesDateof BirthMedicationsPartBWeightEmergencyContactInformedConsentAdultsAuthorizedto Pick UpBBDeviceOpt-OutInsuranceCompanyAddressCouncilNameHealthHistoryImmunizationsParentPhoneNumberParentNameUnitNumberParentSignatureUnitLeader’sNameScoutNamePartAAgeAsthmaHeightAllergiesDateof BirthMedicationsPartBWeightEmergencyContactInformedConsentAdultsAuthorizedto Pick UpBBDeviceOpt-OutInsuranceCompany

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