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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

Kai Marshall

Rye Primary School
C
16/02/2018
Yes
Yes
N/A
No
No
30/04/2026

Zoe Zhang

Rye Primary School
1B
21/09/2019
Yes
Yes
N/A
No
No
30/04/2026

Willow Brooks

Rye Primary School
A
09/11/2015
No
Yes
N/A
Yes
No
30/04/2026

Billy Jarvis

Rye Primary School
b
24/12/2015
No
Yes
N/A
Yes
No
30/04/2026

OWEN PHILLIPS

Rye Primary School
PREP B
18/11/2020
Yes
Yes
N/A
No
No
30/04/2026

Baden Taube

St Augustine's Primary School
UW
06/01/2020
No
No
N/A
No
No
30/04/2026

Eliza Galea

St Augustine's Primary School
Prep K
07/05/2026
No
No
N/A
No
No
30/04/2026

Walter Plunkett

St Augustine's Primary School
Prep V
30/06/2020
No
No
N/A
No
No
29/04/2026

Bondi Mason

St Augustine's Primary School
B
16/01/2018
No
No
N/A
No
No
29/04/2026

Bruce Mason

St Augustine's Primary School
P
31/03/2016
No
No
N/A
No
No
29/04/2026

Jordan Ross

St Augustine's Primary School
W
10/09/2016
No
No
N/A
No
No
29/04/2026

MANXIN XUE

Northside Christian College
M
30/03/2015
No
No
N/A
No
No
29/04/2026

CHANGXIN XUE

Northside Christian College
M
13/08/2018
No
No
N/A
No
No
29/04/2026

Levi Khalil

Northside Christian College
Prep L
21/01/2021
No
No
N/A
No
No
29/04/2026

Leah Khalil

Northside Christian College
Prep L
21/01/2021
No
No
N/A
No
No
29/04/2026

Mia Dela Vega

Northside Christian College
4L
24/06/2016
No
No
N/A
No
No
28/04/2026