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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: Azariah McClutchie

School: Fleetwood Primary School
Class:5/6J
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/05/2026

Name: Shanel Aljameel

School: Christ the Priest Primary School
Class:Red
Date of Birth:10/08/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/05/2026

Name: Virajvansh Singh Bedi

School: Christ the Priest Primary School
Class:Red
Date of Birth:02/01/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/05/2026

Name: River McLean

School: Fleetwood Primary School
Class:3/4R
Date of Birth:22/02/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/05/2026

Name: Anne Marie Patq

School: Christ the Priest Primary School
Class:Prep blue
Date of Birth:25/02/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/05/2026

Name: Logan Cullen

School: St Therese's Primary School Cranbourne
Class:Foundation O
Date of Birth:28/07/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/05/2026

Name: Ariana Uy

School: St Thomas the Apostle Primary School Cranbourne East
Class:D
Date of Birth:06/02/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/05/2026

Name: Channing Uy

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:02/02/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/05/2026

Name: Zamira Leyden

School: St Theresa's Primary School Albion
Class:P/1C
Date of Birth:14/06/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/05/2026

Name: Jade Coquet

School: St Mark's Primary School Dingley
Class:1E
Date of Birth:25/05/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Yuvraan Bhullar

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:27/06/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Harvey (Hrvoje) Nekich

School: St Christophers Primary School
Class:Maroon
Date of Birth:07/03/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/05/2026

Name: Joyce Muqhdas haso

School: Christ the Priest Primary School
Class:Green
Date of Birth:27/08/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Emma Ilangasinghe

School: St Therese's Primary School Cranbourne
Class:Ts
Date of Birth:27/05/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Lia Curtis Pagtakhan

School: St Therese's Primary School Cranbourne
Class:Foundation TS
Date of Birth:01/01/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: HAO NGUYEN

School: Christ the King Primary School
Class:5/6A
Date of Birth:24/02/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Harlow Ely

School: St Therese's Primary School Cranbourne
Class:FTS
Date of Birth:05/04/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Willow Ely

School: St Therese's Primary School Cranbourne
Class:FO
Date of Birth:05/04/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Nakoa Charles-Neri

School: St Therese's Primary School Cranbourne
Class:FTS
Date of Birth:10/10/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Kian Shafaie

School: Fleetwood Primary School
Class:1S
Date of Birth:24/08/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026