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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: Etana Talia

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

Name: Stevan Daddo

School: Holy Cross Primary School
Class:2J
Date of Birth:22/08/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Kaspar Martinu

School: St Theresa's Primary School Albion
Class:3/4
Date of Birth:26/09/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: JACKSON NGUYEN

School: Holy Cross Primary School
Class:5/6AS
Date of Birth:21/09/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Leah Adam

School: Holy Cross Primary School
Class:0JC
Date of Birth:19/04/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Aaliyah Perez

School: St Theresa's Primary School Albion
Class:Prep 1c
Date of Birth:27/07/2026
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/06/2026

Name: Elijah Jordon

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

Name: Aikum Dhillon

School: Holy Cross Primary School
Class:M
Date of Birth:29/04/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/06/2026

Name: Ameerah Dhillon

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

Name: Alena Yousif

School: Holy Cross Primary School
Class:BS
Date of Birth:15/11/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Malakye Jordon

School: Holy Cross Primary School
Class:1AS
Date of Birth:20/09/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Aleena Dhillon

School: Holy Cross Primary School
Class:MS
Date of Birth:03/08/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/06/2026

Name: Alec James

School: Christ the King Primary School
Class:5/6B
Date of Birth:14/11/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Harper Blazey

School: St Theresa's Primary School Albion
Class:5/6 A
Date of Birth:22/06/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/06/2026

Name: PEYTON BAMFORD

School: Point Cook P-9 College
Class:A
Date of Birth:26/01/2014
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: JASPER BAMFORD

School: Point Cook P-9 College
Class:E
Date of Birth:11/09/2012
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Oscar Tutaki

School: Point Cook P-9 College
Class:1B
Date of Birth:13/06/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Riku Adachi

School: Point Cook P-9 College
Class:A
Date of Birth:22/11/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: MARIAH PADANIS

School: Point Cook P-9 College
Class:5D
Date of Birth:03/12/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/05/2026

Name: Jordan Padanis

School: Point Cook P-9 College
Class:7A
Date of Birth:08/04/2013
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/05/2026