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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: ANTONIO PEZZANO

School: Our Lady of the Way Primary School Wallan East
Class:1D
Date of Birth:26/02/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: ALFONSO PEZZANO

School: Our Lady of the Way Primary School Wallan East
Class:FA
Date of Birth:29/01/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Paris Tohi

School: Point Cook P-9 College
Class:3D
Date of Birth:18/04/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Ramsowarda Mikhail

School: Holy Cross Primary School
Class:JO
Date of Birth:11/04/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Mekail Mikhail

School: Holy Cross Primary School
Class:CR
Date of Birth:18/04/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Shruti Sridhar

School: Corpus Christi Primary School Glenroy
Class:1-2F
Date of Birth:23/01/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:18/06/2026

Name: Shaliya Mulbah

School: Point Cook P-9 College
Class:E
Date of Birth:15/04/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Jazari Mulbah

School: Point Cook P-9 College
Class:D
Date of Birth:15/12/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Skylah Riswan

School: Point Cook P-9 College
Class:d
Date of Birth:27/10/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:17/06/2026

Name: Renee kaur Dhillon

School: Point Cook P-9 College
Class:2
Date of Birth:07/11/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:17/06/2026

Name: Blake Romano-Sinnett

School: Corpus Christi Primary School Glenroy
Class:1/2T
Date of Birth:27/07/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:17/06/2026

Name: Logan Romano-Brown

School: Corpus Christi Primary School Glenroy
Class:5/6J
Date of Birth:28/12/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:17/06/2026

Name: Kayla Gibbs

School: Our Lady of the Way Primary School Wallan East
Class:A
Date of Birth:31/05/2026
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:17/06/2026

Name: Charlie Kay

School: Our Lady of the Way Primary School Wallan East
Class:5a
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:17/06/2026

Name: Jinisha Sisodia

School: Point Cook P-9 College
Class:7 H
Date of Birth:29/05/2013
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:17/06/2026

Name: Lennox Wilson

School: Point Cook P-9 College
Class:Prep A
Date of Birth:08/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:17/06/2026

Name: Rachael Aldreen

School: Point Cook P-9 College
Class:3 B
Date of Birth:17/01/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:17/06/2026

Name: Joziah Georgeis

School: Holy Cross Primary School
Class:2LA
Date of Birth:20/10/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Joziah Georgeis

School: Holy Cross Primary School
Class:2LA
Date of Birth:20/10/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Tanish datta

School: Point Cook P-9 College
Class:2
Date of Birth:07/10/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026