ScoutNameEmergencyContactParentPhoneNumberAsthmaWeightAllergiesUnitNumberAdultsAuthorizedto Pick UpParentNameUnitLeader’sNameCouncilNameInformedConsentHealthHistoryInsuranceCompanyAddressDateof BirthPartAParentSignatureImmunizationsPartBHeightAgeBBDeviceOpt-OutMedicationsScoutNameEmergencyContactParentPhoneNumberAsthmaWeightAllergiesUnitNumberAdultsAuthorizedto Pick UpParentNameUnitLeader’sNameCouncilNameInformedConsentHealthHistoryInsuranceCompanyAddressDateof BirthPartAParentSignatureImmunizationsPartBHeightAgeBBDeviceOpt-OutMedications

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