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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: Louis Wells

School: St Mark's Primary School Dingley
Class:3/4D
Date of Birth:31/01/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/06/2026

Name: Mila Ngo

School: St Mark's Primary School Dingley
Class:3/4N
Date of Birth:23/08/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:05/06/2026

Name: PHIACLARE SIAMANI TOFILAU

School: Holy Cross Primary School
Class:5/6MS
Date of Birth:23/07/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: KARLA QADSO

School: Holy Cross Primary School
Class:0JC
Date of Birth:26/03/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: NICK-JUNIOR SIAMANI TOFILAU

School: Holy Cross Primary School
Class:3 CL
Date of Birth:06/09/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: MARLA QADSO

School: Holy Cross Primary School
Class:3AS
Date of Birth:29/03/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: Charlotte Houston

School: St Louis de Montforts Primary School
Class:PJM
Date of Birth:21/09/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: ISAAC NAMROOD

School: Holy Cross Primary School
Class:1AS
Date of Birth:23/12/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: Aedlyn Mariyam Sherin

School: Christ the Priest Primary School
Class:Green
Date of Birth:16/05/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: Ariella Bou

School: St Mark's Primary School Dingley
Class:1D
Date of Birth:28/11/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:04/06/2026

Name: Amelia Hinkley

School: St Christophers Primary School
Class:Blue
Date of Birth:25/04/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: Mila Alnajar

School: Christ the Priest Primary School
Class:Red
Date of Birth:20/04/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: Mathias Alnajar

School: Christ the Priest Primary School
Class:Green
Date of Birth:30/10/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: Tomas Andres Currea Cardozo

School: Christ the Priest Primary School
Class:Red
Date of Birth:05/05/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: Fabian Poli

School: Our Lady of the Way Primary School Wallan East
Class:1D
Date of Birth:03/10/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: Zoey Thai

School: St Mark's Primary School Dingley
Class:1E
Date of Birth:23/04/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:04/06/2026

Name: Easton Dyer

School: Our Lady of the Way Primary School Wallan East
Class:2D
Date of Birth:10/07/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: Clare Maher

School: Our Lady of the Way Primary School Wallan East
Class:3A
Date of Birth:20/09/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/06/2026

Name: ELLA SOKOL

School: Our Lady of the Way Primary School Wallan East
Class:B
Date of Birth:23/04/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:04/06/2026

Name: Saanvi Duggal

School: Holy Cross Primary School
Class:3AS
Date of Birth:03/02/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:04/06/2026