ParentNameHeightImmunizationsScoutNameWeightParentSignatureParentPhoneNumberPartAAddressAgeInformedConsentUnitLeader’sNameAllergiesCouncilNameHealthHistoryAdultsAuthorizedto Pick UpMedicationsEmergencyContactInsuranceCompanyBBDeviceOpt-OutPartBAsthmaDateof BirthUnitNumberParentNameHeightImmunizationsScoutNameWeightParentSignatureParentPhoneNumberPartAAddressAgeInformedConsentUnitLeader’sNameAllergiesCouncilNameHealthHistoryAdultsAuthorizedto Pick UpMedicationsEmergencyContactInsuranceCompanyBBDeviceOpt-OutPartBAsthmaDateof BirthUnitNumber

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