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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: Bethel Toleafoa

School: Berwick Chase Primary School
Class:2D
Date of Birth:23/02/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Beyond Toleafoa

School: Berwick Chase Primary School
Class:2C
Date of Birth:18/01/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Diana Rezaee

School: Berwick Chase Primary School
Class:C
Date of Birth:27/06/2026
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: CRUZ Malins

School: Berwick Chase Primary School
Class:4D
Date of Birth:12/02/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: JAGGER MALINS

School: Berwick Chase Primary School
Class:5A
Date of Birth:07/06/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Aleena Kamawi

School: Berwick Chase Primary School
Class:A
Date of Birth:26/04/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Charlie Benn

School: Berwick Chase Primary School
Class:A
Date of Birth:28/05/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Benjamin DODDS

School: Berwick Chase Primary School
Class:B
Date of Birth:21/08/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Douglas DODDS

School: Berwick Chase Primary School
Class:E
Date of Birth:13/08/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Nate Cook

School: Berwick Chase Primary School
Class:B
Date of Birth:21/06/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: HARRY DODDS

School: Berwick Chase Primary School
Class:A
Date of Birth:22/06/2014
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Rory Cook

School: Berwick Chase Primary School
Class:A
Date of Birth:21/06/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Tharunika Tharmathas

School: Berwick Chase Primary School
Class:2E
Date of Birth:31/12/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: ZIMAL AHMED

School: Berwick Chase Primary School
Class:PREP
Date of Birth:23/10/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Harper Batty

School: Berwick Chase Primary School
Class:C
Date of Birth:21/03/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Declan Havis

School: Berwick Chase Primary School
Class:3D
Date of Birth:20/04/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Noah Heenatigala

School: Berwick Chase Primary School
Class:D
Date of Birth:25/07/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026

Name: Harvey Chalmers

School: Narre Warren North Primary School
Class:Prep C
Date of Birth:14/08/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:20/07/2026

Name: Cameron Chalmers

School: Narre Warren North Primary School
Class:3B
Date of Birth:07/02/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:20/07/2026

Name: Amaira Chaudharh

School: Berwick Chase Primary School
Class:B
Date of Birth:17/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/07/2026