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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: Rohan Talreja

School: Point Cook P-9 College
Class:A
Date of Birth:27/11/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Davina El-Amiouni

School: Christ the Priest Primary School
Class:Green
Date of Birth:20/09/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Dante El-Amiouni

School: Christ the Priest Primary School
Class:Green
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Karnav singh Takhtar

School: Christ the Priest Primary School
Class:Green
Date of Birth:21/03/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Kritman singh Takhtar

School: Christ the Priest Primary School
Class:Blue
Date of Birth:21/03/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Hargun Kaur Takhtar

School: Christ the Priest Primary School
Class:Blue
Date of Birth:07/10/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Sara Rose Filipovski

School: Christ the Priest Primary School
Class:1green
Date of Birth:23/01/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Esme Tran

School: Christ the Priest Primary School
Class:Blue
Date of Birth:07/11/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Jesse-James Cooper

School: Christ the Priest Primary School
Class:Blue
Date of Birth:01/04/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Georgia Nadas

School: St Louis de Montforts Primary School
Class:SW
Date of Birth:21/08/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Colton Nadas

School: St Louis de Montforts Primary School
Class:KB
Date of Birth:17/06/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Tobias Rodriguez

School: Christ the Priest Primary School
Class:Green
Date of Birth:24/04/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Zachary Rodriguez

School: Christ the Priest Primary School
Class:Green
Date of Birth:14/08/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Maximo Andres

School: Christ the Priest Primary School
Class:Green
Date of Birth:09/12/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Roedy Long

School: Christ the Priest Primary School
Class:Blue
Date of Birth:10/04/2026
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Faith Bihong

School: Christ the Priest Primary School
Class:Green
Date of Birth:20/08/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Abigail Bihong

School: Christ the Priest Primary School
Class:Blue
Date of Birth:09/12/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Kristina Corluka

School: Christ the Priest Primary School
Class:Green
Date of Birth:13/10/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Nikola Corluka

School: Christ the Priest Primary School
Class:Blue
Date of Birth:06/12/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Christine Joy Uson

School: Christ the Priest Primary School
Class:Red
Date of Birth:08/04/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026
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