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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: AALIYAH MOREL

School: St Francis de Sales Primary School Lynbrook
Class:IB
Date of Birth:01/12/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/08/2026

Name: Amayra Patel

School: Balambalam
Class:B
Date of Birth:15/12/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/08/2026

Name: Frankie Kelaart

School: St Patrick's Mentone
Class:1KA
Date of Birth:01/08/2019
Eligible:Yes
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/08/2026

Name: Johan MAHALIYANAGE DON

School: St Patrick's Mentone
Class:1JM
Date of Birth:31/03/2026
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/08/2026

Name: George Morris

School: St Patrick's Mentone
Class:PLS
Date of Birth:16/07/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/08/2026

Name: Ivy Morris

School: St Patrick's Mentone
Class:1jm
Date of Birth:29/12/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/08/2026

Name: Ariel Wright

School: St Patrick's Mentone
Class:DM
Date of Birth:28/04/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/08/2026

Name: Sophia Perera

School: St Patrick's Mentone
Class:1TC
Date of Birth:03/07/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/08/2026

Name: Edie Davies

School: St Patrick's Mentone
Class:2SM
Date of Birth:07/07/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/08/2026

Name: Koby Grant

School: St Mary’s Whittlesea
Class:N
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:28/08/2026

Name: Isaac Stoppa

School: St Patrick's Mentone
Class:2SM
Date of Birth:07/12/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/08/2026

Name: Samuel (Sam) White

School: St Mary’s Whittlesea
Class:2M
Date of Birth:20/08/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:28/08/2026

Name: Smarvi Hamal

School: St Francis de Sales Primary School Lynbrook
Class:LS2
Date of Birth:28/10/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:28/08/2026

Name: Sebastian Moore

School: St Patrick's Mentone
Class:PNS
Date of Birth:15/05/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/08/2026

Name: ANTHONY KARA

School: St Patrick's Mentone
Class:3LM
Date of Birth:26/04/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/08/2026

Name: ANDREW KARA

School: St Patrick's Mentone
Class:5AH
Date of Birth:01/09/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/08/2026

Name: Emma Yeung

School: St Simon the Apostle Primary School
Class:Green
Date of Birth:26/12/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Jaxon Veale

School: St Elizabeth Primary School
Class:1 2 LJ
Date of Birth:11/02/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/08/2026

Name: Adric Jilju

School: St Francis de Sales Primary School Lynbrook
Class:RI
Date of Birth:08/11/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/08/2026

Name: Archer Lowe

School: St Patrick's Mentone
Class:1KA
Date of Birth:03/01/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026