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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: Meghan Biwott

School: St Francis de Sales Primary School Lynbrook
Class:LS1
Date of Birth:08/01/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/08/2026

Name: Tsz Ching Pang

School: St Simon the Apostle Primary School
Class:Grade 2 blue
Date of Birth:19/06/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/08/2026

Name: Carla Abou Zidan

School: St Simon the Apostle Primary School
Class:2B
Date of Birth:23/05/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/08/2026

Name: JASMINE DATSON

School: Balambalam
Class:A
Date of Birth:22/11/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/08/2026

Name: TIARI MAIHI

School: Balambalam
Class:B
Date of Birth:13/11/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/08/2026

Name: LINCOLN VELLA

School: St Francis de Sales Primary School Lynbrook
Class:RJ
Date of Birth:17/02/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/08/2026

Name: Corey Lai

School: St Simon the Apostle Primary School
Class:Green
Date of Birth:29/12/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/08/2026

Name: Niko Klarica

School: St Elizabeth Primary School
Class:JP
Date of Birth:09/08/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/08/2026

Name: Baani Kaur Sidhu

School: St Francis de Sales Primary School Lynbrook
Class:NG
Date of Birth:13/02/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/08/2026

Name: Iva Klarica

School: St Elizabeth Primary School
Class:GB
Date of Birth:20/05/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/08/2026

Name: Kiara Matteo

School: St Elizabeth Primary School
Class:1/2LJ
Date of Birth:13/11/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/08/2026

Name: Jenon Weerasekara

School: St Simon the Apostle Primary School
Class:Green
Date of Birth:26/02/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:25/08/2026

Name: Dimitri Boutos

School: St Elizabeth Primary School
Class:1/2AM
Date of Birth:29/03/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:25/08/2026

Name: ELENI RALLIS

School: St Elizabeth Primary School
Class:PSP
Date of Birth:25/01/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:25/08/2026

Name: Richelle Jayawansha

School: Balambalam
Class:E
Date of Birth:23/03/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:24/08/2026

Name: Michael Atalla

School: St Simon the Apostle Primary School
Class:5/6g
Date of Birth:05/02/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:24/08/2026

Name: Jaxson hughes

School: St Elizabeth Primary School
Class:3/4 Egan and claxton
Date of Birth:10/10/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:24/08/2026

Name: TEGJWOK ADUNG

School: St Elizabeth Primary School
Class:1/2LJ
Date of Birth:02/10/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:24/08/2026

Name: Munjwok Adung

School: St Elizabeth Primary School
Class:3/4JP
Date of Birth:14/01/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:24/08/2026

Name: Harrison Stallbaum

School: Balambalam
Class:Foundation E
Date of Birth:08/11/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:24/08/2026
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