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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: 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

Name: Alissa Allan

School: Holy Cross Primary School
Class:1LA
Date of Birth:09/09/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:10/06/2026

Name: Matthew Boboskic

School: St Louis de Montforts Primary School
Class:6ET
Date of Birth:10/11/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:10/06/2026

Name: Subeg Singh Gill

School: Our Lady of the Way Primary School Wallan East
Class:C
Date of Birth:31/03/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:10/06/2026

Name: Andre Lazar

School: Point Cook P-9 College
Class:4C
Date of Birth:02/03/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/06/2026

Name: Gianna Weerasinghe

School: Holy Cross Primary School
Class:LV
Date of Birth:21/06/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/06/2026

Name: Sasa KHADKA

School: Holy Cross Primary School
Class:NR
Date of Birth:03/12/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/06/2026

Name: Ronan Khadka

School: Holy Cross Primary School
Class:5/6 MB
Date of Birth:31/03/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/06/2026

Name: Eric Salhotra

School: Holy Cross Primary School
Class:4CR
Date of Birth:30/06/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/06/2026

Name: William Cooper

School: St Louis de Montforts Primary School
Class:6KB
Date of Birth:05/06/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/06/2026

Name: amelia taranek

School: St Mark's Primary School Dingley
Class:m
Date of Birth:03/02/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/06/2026

Name: Elliott Taylor

School: Our Lady of the Way Primary School Wallan East
Class:C
Date of Birth:18/09/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/06/2026

Name: Shengyuan Chi

School: Point Cook P-9 College
Class:D
Date of Birth:18/02/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/06/2026

Name: SHENGRONG CHI

School: Point Cook P-9 College
Class:C
Date of Birth:23/05/2014
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/06/2026

Name: Asher Methrayil Jacob

School: Holy Cross Primary School
Class:4MV
Date of Birth:02/01/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/06/2026

Name: Vivaan Gokool

School: Point Cook P-9 College
Class:C
Date of Birth:14/10/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/06/2026

Name: Viyaan Gokool

School: Point Cook P-9 College
Class:A
Date of Birth:22/10/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/06/2026

Name: Dennis Luu

School: St Mark's Primary School Dingley
Class:00M
Date of Birth:30/06/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/06/2026