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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: Rolph Malik

School: Holy Cross Primary School
Class:AS
Date of Birth:29/03/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026

Name: Odin Strickland-Pina

School: Our Lady of the Way Primary School Wallan East
Class:C
Date of Birth:29/03/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:11/06/2026

Name: Manraj Singh Kang

School: Our Lady of the Way Primary School Wallan East
Class:6B
Date of Birth:19/12/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:11/06/2026

Name: Jaxton Murphy

School: Our Lady of the Way Primary School Wallan East
Class:C
Date of Birth:25/11/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026

Name: Chloe Mikho

School: Holy Cross Primary School
Class:3DA
Date of Birth:03/05/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026

Name: Aubrielle Alfonso

School: Holy Cross Primary School
Class:SB1 (Sabrina)
Date of Birth:17/10/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:11/06/2026

Name: Tia Ferraro

School: St Louis de Montforts Primary School
Class:1BM
Date of Birth:14/12/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/06/2026

Name: Adalynn Athwal

School: Holy Cross Primary School
Class:MS
Date of Birth:06/07/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:10/06/2026

Name: Dylan Athwal

School: Holy Cross Primary School
Class:MV
Date of Birth:15/11/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:10/06/2026

Name: Sherin Shine

School: Our Lady of the Way Primary School Wallan East
Class:c
Date of Birth:16/10/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:10/06/2026

Name: Kobe Stokes

School: Point Cook P-9 College
Class:PrepD
Date of Birth:12/02/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:10/06/2026

Name: William McDonald

School: Point Cook P-9 College
Class:5B
Date of Birth:25/08/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:10/06/2026

Name: William McDonald

School: Point Cook P-9 College
Class:5B
Date of Birth:25/08/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:10/06/2026

Name: Ashton Gordon

School: St Louis de Montforts Primary School
Class:Pjm
Date of Birth:22/07/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:10/06/2026

Name: Sebastian Gauci

School: Our Lady of the Way Primary School Wallan East
Class:B
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:10/06/2026

Name: Hugo Williams

School: Holy Cross Primary School
Class:PNR
Date of Birth:10/07/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:10/06/2026

Name: Imogen Williams

School: Holy Cross Primary School
Class:3DA
Date of Birth:29/10/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:10/06/2026

Name: Claire Guinto

School: Holy Cross Primary School
Class:1SB
Date of Birth:23/12/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:10/06/2026

Name: Bani Poswal

School: Our Lady of the Way Primary School Wallan East
Class:D
Date of Birth:15/09/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:10/06/2026

Name: Kobe McCallum

School: Holy Cross Primary School
Class:2cb
Date of Birth:08/09/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:10/06/2026