AsthmaUnitNumberMedicationsBBDeviceOpt-OutCouncilNameParentSignatureDateof BirthScoutNameImmunizationsInsuranceCompanyAllergiesHeightHealthHistoryParentNameAdultsAuthorizedto Pick UpWeightEmergencyContactAgePartBAddressInformedConsentParentPhoneNumberUnitLeader’sNamePartAAsthmaUnitNumberMedicationsBBDeviceOpt-OutCouncilNameParentSignatureDateof BirthScoutNameImmunizationsInsuranceCompanyAllergiesHeightHealthHistoryParentNameAdultsAuthorizedto Pick UpWeightEmergencyContactAgePartBAddressInformedConsentParentPhoneNumberUnitLeader’sNamePartA

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