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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: Lucas Jolakh

School: Corpus Christi Primary School Glenroy
Class:5/6S
Date of Birth:28/10/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Peter Jolakh

School: Corpus Christi Primary School Glenroy
Class:3/4PW
Date of Birth:21/08/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: THOMAS SECONNINO

School: Berwick Chase Primary School
Class:PREP A
Date of Birth:03/06/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: TALIA SECONNINO

School: Berwick Chase Primary School
Class:3A
Date of Birth:12/01/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Beatrice Hughes

School: Berwick Chase Primary School
Class:D
Date of Birth:10/04/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Millicent Hughes

School: Berwick Chase Primary School
Class:A
Date of Birth:19/03/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: James Wheeler

School: St Macartan's Primary School
Class:4H
Date of Birth:14/11/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/07/2026

Name: Samuel Wheeler

School: St Macartan's Primary School
Class:6O
Date of Birth:23/11/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/07/2026

Name: Mason Hemming

School: St Macartan's Primary School
Class:3A
Date of Birth:23/09/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Shriyaan Sankarasubramanian

School: Berwick Chase Primary School
Class:D
Date of Birth:17/11/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Harrhythm kaur Dargan

School: Berwick Chase Primary School
Class:A
Date of Birth:03/09/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Samraat singh Dargan

School: Berwick Chase Primary School
Class:E
Date of Birth:04/03/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Diana Ngigi

School: Corpus Christi Primary School Glenroy
Class:5/6S
Date of Birth:30/06/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/07/2026

Name: JOSH AJAGEER

School: Berwick Chase Primary School
Class:C
Date of Birth:21/09/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Harvey Nicol

School: St Macartan's Primary School
Class:P
Date of Birth:07/07/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/07/2026

Name: NAMEER RAHMAN

School: Berwick Chase Primary School
Class:3A
Date of Birth:09/08/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Advaith Renjith

School: Berwick Chase Primary School
Class:C
Date of Birth:17/09/2014
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Jaina Dugec

School: St Macartan's Primary School
Class:Prep C
Date of Birth:10/12/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Hasan Aziz

School: Berwick Chase Primary School
Class:B
Date of Birth:16/07/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Ruby Hanley

School: Narre Warren North Primary School
Class:A
Date of Birth:04/08/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026