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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: Ariya Walpola

School: Bridgewood Primary School
Class:5D
Date of Birth:13/11/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:28/07/2026

Name: Roson Jayasuriya Arachchige

School: Bridgewood Primary School
Class:D
Date of Birth:09/09/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:28/07/2026

Name: Lison Jayasuriya Arachchige

School: Bridgewood Primary School
Class:B
Date of Birth:05/07/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:28/07/2026

Name: Eesa Fawad

School: Bridgewood Primary School
Class:LC3D
Date of Birth:04/08/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/07/2026

Name: Jayden Mor

School: Bridgewood Primary School
Class:D
Date of Birth:06/01/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/07/2026

Name: DHEERAV SABHARI GIRISH

School: Bridgewood Primary School
Class:D
Date of Birth:04/02/2025
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:28/07/2026

Name: MISHKA MODI

School: Bridgewood Primary School
Class:C
Date of Birth:02/12/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/07/2026

Name: Tamara Ngewa

School: Bridgewood Primary School
Class:L6D
Date of Birth:04/02/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/07/2026

Name: Charlie Carter

School: Bridgewood Primary School
Class:FA
Date of Birth:19/09/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/07/2026

Name: Henry Carter

School: Bridgewood Primary School
Class:5D
Date of Birth:07/06/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/07/2026

Name: Thinuli Banunu Vitharanage

School: Bridgewood Primary School
Class:B
Date of Birth:18/11/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/07/2026

Name: keenan O’Mara

School: Bridgewood Primary School
Class:L6D
Date of Birth:07/01/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/07/2026

Name: Anisha Ghodke

School: Bridgewood Primary School
Class:D
Date of Birth:21/07/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/07/2026

Name: Advika Gokul

School: Bridgewood Primary School
Class:B
Date of Birth:23/10/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/07/2026

Name: keeva O’Mara

School: Bridgewood Primary School
Class:L1D
Date of Birth:17/10/2026
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/07/2026

Name: RYAN ALI

School: Bridgewood Primary School
Class:LC1B
Date of Birth:04/01/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/07/2026

Name: Kai O’Mara

School: Bridgewood Primary School
Class: l3b
Date of Birth:26/10/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/07/2026

Name: ELLIANA KHURANA

School: Bridgewood Primary School
Class:D
Date of Birth:19/10/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/07/2026

Name: GRIVA KHURANA

School: Bridgewood Primary School
Class:A
Date of Birth:19/10/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/07/2026

Name: Jaswin Singh Babbar

School: Bridgewood Primary School
Class:FC
Date of Birth:12/04/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/07/2026