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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: SPENCER OZARIO

School: St Thomas the Apostle Primary School Cranbourne East
Class:1A
Date of Birth:14/11/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/05/2026

Name: Shannon Rose

School: St Thomas the Apostle Primary School Cranbourne East
Class:Epheseus
Date of Birth:11/06/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/05/2026

Name: Maisy Burton

School: Corpus Christi Werribee
Class:1dc
Date of Birth:02/02/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Tyler Yomelos

School: Corpus Christi Werribee
Class:Prekish
Date of Birth:31/03/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Penelope Poland

School: Corpus Christi Werribee
Class:AK
Date of Birth:17/06/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Ryder D’Aquino

School: Fleetwood Primary School
Class:2C
Date of Birth:08/07/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: easton smith

School: Corpus Christi Werribee
Class:4MD
Date of Birth:14/07/2016
Eligible:Yes
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Jordyn D’Aquino

School: Fleetwood Primary School
Class:3/4B
Date of Birth:12/08/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: emmie smith

School: Corpus Christi Werribee
Class:FND
Date of Birth:19/03/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Liam Tyrrell

School: St Francis Xavier Primary School
Class:KW
Date of Birth:17/03/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/05/2026

Name: Eriana Nakarmi

School: St John the Apostle Primary School Tarneit
Class:Prep D
Date of Birth:16/10/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Shayna Taheri

School: St Francis Xavier Primary School
Class:Bm
Date of Birth:02/03/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Dasiru Dahanayaka

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:21/05/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/05/2026

Name: Mia Garing

School: St John the Apostle Primary School Tarneit
Class:2G
Date of Birth:22/01/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/05/2026

Name: Pahul Sahota

School: St John the Apostle Primary School Tarneit
Class:Grade 4
Date of Birth:07/02/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/05/2026

Name: Daelan Adelson

School: St Thomas the Apostle Primary School Cranbourne East
Class:3A
Date of Birth:03/05/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Aadil Neil Madhavan

School: St Thomas the Apostle Primary School Cranbourne East
Class:D
Date of Birth:15/01/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/05/2026

Name: Kingston L’eveque

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:19/02/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Arthur Riley

School: St Francis Xavier Primary School
Class:1CM
Date of Birth:16/06/2026
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/05/2026

Name: Arabelle Riley

School: St Francis Xavier Primary School
Class:4RS
Date of Birth:20/12/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/05/2026
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