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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: James Talarico

School: Our Lady of the Way Primary School Wallan East
Class:Foundation B
Date of Birth:05/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:19/06/2026

Name: Charley MEDRANO

School: Point Cook P-9 College
Class:E
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:19/06/2026

Name: Ranveer Singh

School: Our Lady of the Way Primary School Wallan East
Class:A
Date of Birth:16/04/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: LIVIA STOCCO

School: Our Lady of the Way Primary School Wallan East
Class:A
Date of Birth:26/02/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Valentina (Vali) Stocco

School: Our Lady of the Way Primary School Wallan East
Class:D
Date of Birth:12/06/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Remilekun Agbeja

School: Our Lady of the Way Primary School Wallan East
Class:B
Date of Birth:05/03/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: JENNIFER HAMILTON

School: Berwick Chase Primary School
Class:C
Date of Birth:24/09/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Benjamin Thomas

School: Our Lady of the Way Primary School Wallan East
Class:3C
Date of Birth:26/11/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:18/06/2026

Name: Emma Thomas

School: Our Lady of the Way Primary School Wallan East
Class:FD
Date of Birth:21/08/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:18/06/2026

Name: Jackson Thomas

School: Our Lady of the Way Primary School Wallan East
Class:5D
Date of Birth:13/05/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:18/06/2026

Name: Ayce Greene

School: Berwick Chase Primary School
Class:1D
Date of Birth:24/04/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Justin Taufa

School: Berwick Chase Primary School
Class:2E
Date of Birth:19/01/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Mackenzie-Mykal Takerei

School: Point Cook P-9 College
Class:2A
Date of Birth:22/04/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Mia Burfitt

School: Our Lady of the Way Primary School Wallan East
Class:Foundation D
Date of Birth:14/11/1997
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: KHIRA PATEL

School: Point Cook P-9 College
Class:1C
Date of Birth:21/06/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: SAISH PATEL

School: Point Cook P-9 College
Class:4E
Date of Birth:19/08/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Isaac Daniels

School: Our Lady of the Way Primary School Wallan East
Class:D
Date of Birth:05/11/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: AURA BASNET

School: Corpus Christi Primary School Glenroy
Class:1/2 F
Date of Birth:19/04/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:18/06/2026

Name: Mehreen Malik

School: Our Lady of the Way Primary School Wallan East
Class:D
Date of Birth:03/07/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026

Name: Thea Magliba

School: Our Lady of the Way Primary School Wallan East
Class:D
Date of Birth:11/08/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/06/2026