PartBImmunizationsParentPhoneNumberPartAAsthmaHealthHistoryParentSignatureAgeScoutNameInsuranceCompanyAddressEmergencyContactCouncilNameDateof BirthUnitNumberUnitLeader’sNameMedicationsWeightAdultsAuthorizedto Pick UpBBDeviceOpt-OutHeightAllergiesInformedConsentParentNamePartBImmunizationsParentPhoneNumberPartAAsthmaHealthHistoryParentSignatureAgeScoutNameInsuranceCompanyAddressEmergencyContactCouncilNameDateof BirthUnitNumberUnitLeader’sNameMedicationsWeightAdultsAuthorizedto Pick UpBBDeviceOpt-OutHeightAllergiesInformedConsentParentName

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