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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: Alexis Sacco

School: Fleetwood Primary School
Class:3/4R
Date of Birth:04/12/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:21/05/2026

Name: Amelia Farrington

School: St Therese's Primary School Cranbourne
Class:JK
Date of Birth:25/06/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/05/2026

Name: DANIELLA SAN GIORGIO

School: St Thomas the Apostle Primary School Cranbourne East
Class:5B
Date of Birth:30/11/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/05/2026

Name: MINA NGUYEN

School: Fleetwood Primary School
Class:5/6J
Date of Birth:29/07/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/05/2026

Name: Sidhak Singh Dayal

School: St Thomas the Apostle Primary School Cranbourne East
Class:33B green
Date of Birth:09/10/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:20/05/2026

Name: Aryansh Gupta

School: St Thomas the Apostle Primary School Cranbourne East
Class:1 B
Date of Birth:25/07/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:20/05/2026

Name: Tomas Miranda

School: St Thomas the Apostle Primary School Cranbourne East
Class:D
Date of Birth:19/01/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/05/2026

Name: Max Miranda

School: St Thomas the Apostle Primary School Cranbourne East
Class:A
Date of Birth:19/01/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/05/2026

Name: Emla Marian Shinto

School: Fleetwood Primary School
Class:1S
Date of Birth:23/09/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/05/2026

Name: Liam Meyers

School: St Thomas the Apostle Primary School Cranbourne East
Class:3A
Date of Birth:29/08/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:20/05/2026

Name: Ayaan Mehta

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:23/08/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:20/05/2026

Name: Wahenoor singh Virk

School: St Thomas the Apostle Primary School Cranbourne East
Class:2a
Date of Birth:08/03/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:20/05/2026

Name: Chase Celotti

School: St Francis Xavier Primary School
Class:6DM
Date of Birth:04/02/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:20/05/2026

Name: Claire Winslet Sumergido

School: St Thomas the Apostle Primary School Cranbourne East
Class:Foundation Class
Date of Birth:15/10/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:20/05/2026

Name: Brandon Kheng

School: Fleetwood Primary School
Class:3
Date of Birth:01/10/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/05/2026

Name: Candace Dizon

School: St John the Apostle Primary School Tarneit
Class:Prep-D’Souza
Date of Birth:25/06/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/05/2026

Name: Caleb Dizon

School: St John the Apostle Primary School Tarneit
Class:3-Webb
Date of Birth:11/06/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:20/05/2026

Name: Matthew Rabahi

School: St Thomas the Apostle Primary School Cranbourne East
Class:Room-00D
Date of Birth:01/10/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:19/05/2026

Name: Selina perera

School: St Thomas the Apostle Primary School Cranbourne East
Class:1 A
Date of Birth:15/10/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:19/05/2026

Name: Roger Wang

School: St Therese's Primary School Cranbourne
Class:MB
Date of Birth:16/04/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:19/05/2026