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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: Adalin varga-gavriel

School: St Elizabeth Primary School
Class:3/4JP
Date of Birth:18/02/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Hannah Abdulla

School: Kororoit Creek Primary School
Class:H01
Date of Birth:10/06/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: JAYON RATHNAYAKE

School: St Paul the Apostle North Primary School
Class:1 B
Date of Birth:21/10/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Emelia Mansour

School: St Paul the Apostle North Primary School
Class:Blue
Date of Birth:30/07/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Hannah Neely

School: Holy Trinity Catholic Primary School Eltham North
Class:PEW
Date of Birth:12/03/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Tianyi Zhusng

School: St Paul the Apostle North Primary School
Class:2F
Date of Birth:17/11/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Sarina Abdolhosseini

School: St Paul the Apostle North Primary School
Class:Prep blue
Date of Birth:22/03/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Erin Neely

School: Holy Trinity Catholic Primary School Eltham North
Class:3km
Date of Birth:01/01/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Sorena Abdolhosseini

School: St Paul the Apostle North Primary School
Class:3/4k
Date of Birth:29/01/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Natalie Labib

School: Kororoit Creek Primary School
Class:H43
Date of Birth:04/05/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: William Thu

School: Kororoit Creek Primary School
Class:H33
Date of Birth:12/08/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Noah Gadhia

School: St Paul the Apostle North Primary School
Class:3/4K
Date of Birth:27/07/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Acacia Bhalla

School: St Paul the Apostle North Primary School
Class:B
Date of Birth:29/01/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Sofia Yaakoob

School: St Paul the Apostle North Primary School
Class:B
Date of Birth:28/02/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Amelia Yaakoob

School: St Paul the Apostle North Primary School
Class:F
Date of Birth:15/06/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Heath Beech

School: St Paul the Apostle North Primary School
Class:5/6O
Date of Birth:22/06/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Logan Spooner

School: St Paul the Apostle North Primary School
Class:C
Date of Birth:03/12/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: TIANA DALLOUL

School: St Paul the Apostle North Primary School
Class:Year 1C
Date of Birth:09/12/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Clara Dix

School: St Paul the Apostle North Primary School
Class:Prep Blue
Date of Birth:27/01/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Douglas Dix

School: St Paul the Apostle North Primary School
Class:2F
Date of Birth:22/01/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026