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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: Marcus Ksos

School: Holy Cross Primary School
Class:C
Date of Birth:11/04/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: River Middlebrook

School: Holy Cross Primary School
Class:3/4AS
Date of Birth:29/01/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Jagger Middlebrook

School: Holy Cross Primary School
Class:5/6AS
Date of Birth:16/03/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Grayson Pehi-Morris

School: Point Cook P-9 College
Class:Prep C
Date of Birth:31/12/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Ashleen Kaur Dhaliwal

School: Our Lady of the Way Primary School Wallan East
Class:4D
Date of Birth:09/08/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:16/06/2026

Name: Chase Joy

School: Point Cook P-9 College
Class:Prep D
Date of Birth:03/06/2026
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Jayden NG

School: Point Cook P-9 College
Class:D
Date of Birth:23/05/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Xavier Piffard-Niazi

School: Point Cook P-9 College
Class:A
Date of Birth:09/02/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Delson Baldas

School: Point Cook P-9 College
Class:B
Date of Birth:28/11/2011
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Victoria-Rose Ahipene

School: Point Cook P-9 College
Class:E
Date of Birth:20/10/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Sadie Johnson

School: Point Cook P-9 College
Class:1A
Date of Birth:01/06/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

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:16/06/2026

Name: Anthony Sculli

School: Point Cook P-9 College
Class:D
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Edilburg I Rebosura

School: Holy Cross Primary School
Class:4CR
Date of Birth:01/11/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: DANIEL KARTHIK SELVAM GANESH BABU

School: Holy Cross Primary School
Class:1AS
Date of Birth:23/03/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: CYRIL KARTHIK SELVAM GANESH BABU

School: Holy Cross Primary School
Class:3DA
Date of Birth:28/10/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Abhinu Kohona

School: Point Cook P-9 College
Class:E
Date of Birth:03/06/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:16/06/2026

Name: Lily Sage

School: Holy Cross Primary School
Class:SB
Date of Birth:07/01/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:15/06/2026

Name: Logan Taylor

School: Holy Cross Primary School
Class:5/6 JK
Date of Birth:28/04/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:15/06/2026

Name: Mia Taylor

School: Holy Cross Primary School
Class:4/MT
Date of Birth:25/08/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:15/06/2026