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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: Francesca Brown

School: St Patrick's Mentone
Class:5D
Date of Birth:07/09/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Lilia Curtain

School: St Patrick's Mentone
Class:2KP
Date of Birth:19/06/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Winter Pool

School: St Simon the Apostle Primary School
Class:Orange
Date of Birth:04/12/2014
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Lily Simpson

School: St Simon the Apostle Primary School
Class:Green
Date of Birth:26/04/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Lily Simpson

School: St Simon the Apostle Primary School
Class:Green
Date of Birth:24/04/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Orlando Lopes

School: St Patrick's Mentone
Class:TC
Date of Birth:08/11/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Benjamin Ferrari

School: St Patrick's Mentone
Class:5MH
Date of Birth:17/09/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Conor Maye

School: St Patrick's Mentone
Class:Nm
Date of Birth:18/12/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Scarlett Haque

School: Derrimut Primary School
Class:B
Date of Birth:08/11/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Sofia Tony

School: St Elizabeth Primary School
Class:AH
Date of Birth:18/04/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/08/2026

Name: Luca Tony

School: St Elizabeth Primary School
Class:JM
Date of Birth:09/12/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/08/2026

Name: Mehak Dabra Mehak Dabra

School: St Francis de Sales Primary School Lynbrook
Class:Mp
Date of Birth:24/04/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Grace Vaimauga

School: St Francis de Sales Primary School Lynbrook
Class:RI
Date of Birth:05/07/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/08/2026

Name: Ayla Vaimauga

School: St Francis de Sales Primary School Lynbrook
Class:MP
Date of Birth:15/04/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/08/2026

Name: William Altnickel

School: St Simon the Apostle Primary School
Class:Blue
Date of Birth:01/10/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Oskar Sin

School: St Simon the Apostle Primary School
Class:Blue
Date of Birth:09/04/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/08/2026

Name: Oscar Nguyen

School: St Francis de Sales Primary School Lynbrook
Class:Ri
Date of Birth:20/05/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/08/2026

Name: Joshua Demostheni

School: St Simon the Apostle Primary School
Class:Blue
Date of Birth:29/05/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/08/2026

Name: Jessica Demostheni

School: St Simon the Apostle Primary School
Class:Greeb
Date of Birth:05/05/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/08/2026

Name: Jacob De Guzman

School: St Elizabeth Primary School
Class:56GB
Date of Birth:23/05/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/08/2026
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