Here's a hole-punched "Cootie Card" from a sorority party in 1925.   From Helen M. Barke's scrapbook, scanned by the NDSU Archives.  (Cootie is a dice game in which the first player to complete a drawing of a cootie bug is the winner.  The first person to throw a particular number on the dice gives a shout and is allowed to draw the head of the cootie on her Cootie Card.  Further shouts annouce the additions of a cootie body, six separate legs, two antennae, tail, and eyes [a total of twelve separate cootie pieces].  Body parts are earned according to stipulated rules.  A booby prize is awarded if a player wins no games.  A separate prize goes to the artist who draws the funniest cootie.)