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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: Tama Loizou-Chong

School: St Francis Xavier Primary School
Class:4IS
Date of Birth:29/10/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:19/05/2026

Name: Jake Nedeski

School: St John the Apostle Primary School Tarneit
Class:4
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:19/05/2026

Name: Xander Cotsis

School: St Francis Xavier Primary School
Class:CM
Date of Birth:03/01/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:19/05/2026

Name: Sandrine Ramos

School: St Thomas the Apostle Primary School Cranbourne East
Class:C
Date of Birth:20/06/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:19/05/2026

Name: Lachlan Barabasz

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:12/04/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:19/05/2026

Name: Gianna Paul

School: St Thomas the Apostle Primary School Cranbourne East
Class:C
Date of Birth:23/05/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:19/05/2026

Name: Gerard Paul

School: St Thomas the Apostle Primary School Cranbourne East
Class:A
Date of Birth:21/08/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:19/05/2026

Name: kYRA kamba

School: St Thomas the Apostle Primary School Cranbourne East
Class:D
Date of Birth:03/08/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:19/05/2026

Name: kianna kamba

School: St Thomas the Apostle Primary School Cranbourne East
Class:D
Date of Birth:31/03/2027
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:19/05/2026

Name: Zoe Pittas

School: St Francis Xavier Primary School
Class:1MM
Date of Birth:03/11/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:18/05/2026

Name: Jantine Chemutai

School: St Thomas the Apostle Primary School Cranbourne East
Class:5A
Date of Birth:17/05/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:18/05/2026

Name: Ziva Singh

School: St John the Apostle Primary School Tarneit
Class:Prep
Date of Birth:05/08/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:18/05/2026

Name: Reginald Jacob

School: St John the Apostle Primary School Tarneit
Class:Year 1
Date of Birth:29/04/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/05/2026

Name: Elon Obilo

School: St John the Apostle Primary School Tarneit
Class:Bacon
Date of Birth:30/12/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/05/2026

Name: Ezra Obilo

School: St John the Apostle Primary School Tarneit
Class:Burston
Date of Birth:04/01/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/05/2026

Name: Trinity Ah Colt

School: St Thomas the Apostle Primary School Cranbourne East
Class:1B
Date of Birth:16/02/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:18/05/2026

Name: HIAAN KOLAHALAM

School: St John the Apostle Primary School Tarneit
Class:Prep
Date of Birth:17/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/05/2026

Name: Jensen rozario

School: St Thomas the Apostle Primary School Cranbourne East
Class:D
Date of Birth:26/07/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/05/2026

Name: Cruz Rozario

School: St Thomas the Apostle Primary School Cranbourne East
Class:D
Date of Birth:26/07/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:18/05/2026

Name: Amaranthine Larin

School: St John the Apostle Primary School Tarneit
Class:Nguyen
Date of Birth:26/08/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:18/05/2026