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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: 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

Name: Aiden Aparte

School: Holy Cross Primary School
Class:JC
Date of Birth:22/11/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:15/06/2026

Name: Harwin singh Gill

School: Our Lady of the Way Primary School Wallan East
Class:Year 1
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:15/06/2026

Name: Roselyn Sleiman

School: Holy Cross Primary School
Class:1AS
Date of Birth:19/07/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:15/06/2026

Name: SABEENA VILLAMOR

School: Holy Cross Primary School
Class:JC
Date of Birth:23/09/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:15/06/2026

Name: Thomas Drozdowicz

School: Point Cook P-9 College
Class:B
Date of Birth:29/04/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:15/06/2026

Name: Sithara Kola

School: Our Lady of the Way Primary School Wallan East
Class:A
Date of Birth:22/02/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:15/06/2026

Name: Darcy Low

School: Our Lady of the Way Primary School Wallan East
Class:D
Date of Birth:06/01/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:14/06/2026

Name: Sienna Staples

School: Our Lady of the Way Primary School Wallan East
Class:3C
Date of Birth:07/11/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:14/06/2026

Name: SETH CONNOR

School: Our Lady of the Way Primary School Wallan East
Class:FOUNDATION A
Date of Birth:24/03/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/06/2026

Name: Isla Marshall

School: Our Lady of the Way Primary School Wallan East
Class:C
Date of Birth:14/05/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/06/2026

Name: Giovanni Amer

School: Holy Cross Primary School
Class:Ch 2
Date of Birth:05/11/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026

Name: Ponventura Lealamanua

School: Holy Cross Primary School
Class:5/6JK
Date of Birth:12/05/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026

Name: Cecilia Lealamanua

School: Holy Cross Primary School
Class:3DA
Date of Birth:25/08/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026

Name: Siena Rossini

School: Our Lady of the Way Primary School Wallan East
Class:D
Date of Birth:09/11/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:11/06/2026

Name: Adah Kaur

School: Holy Cross Primary School
Class:Grade 4
Date of Birth:23/02/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026

Name: PATRICK DE LUCA

School: Our Lady of the Way Primary School Wallan East
Class:B
Date of Birth:23/12/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026

Name: ADRIEL Chhetri

School: Holy Cross Primary School
Class:1SB
Date of Birth:05/05/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026

Name: Aermin Kaur

School: Our Lady of the Way Primary School Wallan East
Class:A
Date of Birth:08/12/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026

Name: Aaron Chhetri

School: Holy Cross Primary School
Class:4CR
Date of Birth:26/07/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026