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Submitted Consent Forms

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Student Name:
School
Class
Date of Birth
Eligible
To Be Treated
Treatment Date
Paying?
Treatment Done
Date Submitted

Name: Sophie Venna

School: Sacred Heart Primary School Oakleigh
Class:Prep
Date of Birth:19/01/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:31/08/2026

Name: Kiaan Premaratne

School: St Francis de Sales Primary School Lynbrook
Class:LS3
Date of Birth:07/04/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/08/2026

Name: Sherwin Reddy Venna

School: Sacred Heart Primary School Oakleigh
Class:1/2IP
Date of Birth:24/10/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:31/08/2026

Name: Sierra Rajapakse

School: St Francis de Sales Primary School Lynbrook
Class:Mf
Date of Birth:15/06/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/08/2026

Name: Henry Tran

School: St Francis de Sales Primary School Lynbrook
Class:MM
Date of Birth:11/08/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/08/2026

Name: Kiyara Rajapakse

School: St Francis de Sales Primary School Lynbrook
Class:Rj
Date of Birth:28/08/2026
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/08/2026

Name: Alkis Manasis

School: St Elizabeth Primary School
Class:5/6MB
Date of Birth:08/04/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/08/2026

Name: Isaac Rahman

School: St Elizabeth Primary School
Class:1/2DC
Date of Birth:14/10/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/08/2026

Name: ADA MILLS

School: St Mary’s Whittlesea
Class:FOUNDATION H
Date of Birth:16/11/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:31/08/2026

Name: Giovanni Isaac Dagle

School: St Elizabeth Primary School
Class:5/6SC
Date of Birth:03/10/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/08/2026

Name: Oliver Franco

School: St Francis de Sales Primary School Lynbrook
Class:IB
Date of Birth:06/08/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/08/2026

Name: Elijah Franco

School: St Francis de Sales Primary School Lynbrook
Class:MP
Date of Birth:20/12/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/08/2026

Name: Ivy Franco

School: St Francis de Sales Primary School Lynbrook
Class:MM
Date of Birth:03/11/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/08/2026

Name: Sophia Nguyen

School: St Elizabeth Primary School
Class:1/2AM
Date of Birth:22/11/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/08/2026

Name: Roman Mataora

School: St Elizabeth Primary School
Class:1/2 LJ
Date of Birth:12/11/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/08/2026

Name: Layana Halabi

School: St Elizabeth Primary School
Class:1/2 LJ
Date of Birth:07/02/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/08/2026

Name: Ava Mataora

School: St Elizabeth Primary School
Class:5/6 GB
Date of Birth:08/10/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/08/2026

Name: Daniel Nguyen

School: St Elizabeth Primary School
Class:5/6GB
Date of Birth:08/04/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/08/2026

Name: Rocco Chiaravalle

School: St Elizabeth Primary School
Class:1/2 JM
Date of Birth:28/03/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/08/2026

Name: Massimo Chiaravalle

School: St Elizabeth Primary School
Class:5/6 JM
Date of Birth:22/06/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/08/2026