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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: Marko Corluka

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

Name: Thien Mi Michelle Tran

School: Christ the Priest Primary School
Class:Green
Date of Birth:13/09/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Matilda Martin

School: St Theresa's Primary School Albion
Class:Prep/1 E
Date of Birth:20/06/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/06/2026

Name: Sera Wickramanayake

School: Holy Cross Primary School
Class:PrepMS
Date of Birth:20/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Shevan Wickramanayake

School: Holy Cross Primary School
Class:4CR
Date of Birth:08/10/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Ali Sabir

School: Point Cook P-9 College
Class:2-E
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Zaylee Rose Ifi

School: Holy Cross Primary School
Class:BS
Date of Birth:02/03/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/06/2026

Name: Ariah Floros

School: Christ the Priest Primary School
Class:Red
Date of Birth:13/07/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Jigar singh Sandhu

School: Holy Cross Primary School
Class:2 LA
Date of Birth:28/11/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Mannat kaur Sandhu

School: Holy Cross Primary School
Class:4/5 JK
Date of Birth:04/11/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Tamina Do

School: St Theresa's Primary School Albion
Class:K
Date of Birth:16/05/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Penny Gould

School: Holy Cross Primary School
Class:3DA
Date of Birth:01/01/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/06/2026

Name: Reta Alqismousa‬‏

School: Holy Cross Primary School
Class:CB
Date of Birth:26/07/2018
Eligible:Yes
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Jayden Vella

School: Holy Cross Primary School
Class:0JC
Date of Birth:15/09/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/06/2026

Name: Tristan Vella

School: Holy Cross Primary School
Class:2LA
Date of Birth:06/07/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/06/2026

Name: Inan Suri

School: Point Cook P-9 College
Class:D
Date of Birth:17/03/2012
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Isabelle Enev

School: Holy Cross Primary School
Class:1SB
Date of Birth:19/09/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: MARCUS SUN

School: Point Cook P-9 College
Class:1C
Date of Birth:23/05/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Etana Talia

School: Holy Cross Primary School
Class:Mb
Date of Birth:22/04/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Eliana Talia

School: Holy Cross Primary School
Class:Sb
Date of Birth:06/05/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026