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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: Areni Tashjian

School: St Paul the Apostle North Primary School
Class:G
Date of Birth:26/05/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Eric Lim

School: St Paul the Apostle North Primary School
Class:5/6O
Date of Birth:11/02/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Xavier Pagotto

School: St Paul the Apostle North Primary School
Class:Red
Date of Birth:08/01/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Oryana AL-Banoosha

School: St Paul the Apostle North Primary School
Class:1B
Date of Birth:03/08/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Miguel AL-Banoosha

School: St Paul the Apostle North Primary School
Class:3/4k
Date of Birth:20/02/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Dion Katsaras

School: St Paul the Apostle North Primary School
Class:3/4S
Date of Birth:18/01/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Teig Kapoor

School: Kororoit Creek Primary School
Class:H45
Date of Birth:05/01/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Sergio Le

School: Kororoit Creek Primary School
Class:H03
Date of Birth:19/12/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: SAVGUN KAUR MUNDE

School: Kororoit Creek Primary School
Class:H17
Date of Birth:18/11/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Rayaan van Arkel

School: Kororoit Creek Primary School
Class:H19
Date of Birth:19/03/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Amielle Kemp

School: St Paul the Apostle North Primary School
Class:1B
Date of Birth:15/10/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Eric Cao

School: Kororoit Creek Primary School
Class:H34
Date of Birth:09/12/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Helen Cao

School: Kororoit Creek Primary School
Class:H05
Date of Birth:28/11/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Mia Josipovic

School: St Elizabeth Primary School
Class:1/2EM
Date of Birth:08/07/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Matilda Nave

School: Holy Trinity Catholic Primary School Eltham North
Class:PAB
Date of Birth:20/02/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Alexandria Nave

School: Holy Trinity Catholic Primary School Eltham North
Class:1MS
Date of Birth:16/01/2026
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Charlotte Smith

School: Holy Trinity Catholic Primary School Eltham North
Class:RM
Date of Birth:04/03/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:09/09/2026

Name: Tyler Burk

School: St Elizabeth Primary School
Class:5/6GB
Date of Birth:12/05/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Tyler Burk

School: St Elizabeth Primary School
Class:5/6GB
Date of Birth:12/05/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026

Name: Lachlan Parke

School: Holy Trinity Catholic Primary School Eltham North
Class:1ws
Date of Birth:05/03/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/09/2026