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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: Ava John

School: Christ the Priest Primary School
Class:4 Blue
Date of Birth:31/08/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:03/06/2026

Name: Easton Dyer

School: Our Lady of the Way Primary School Wallan East
Class:2D
Date of Birth:10/07/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Myriam Jwaid

School: Christ the Priest Primary School
Class:Perp blue
Date of Birth:07/07/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Abbey Johnson

School: Our Lady of the Way Primary School Wallan East
Class:A
Date of Birth:03/08/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:03/06/2026

Name: SETH CONNOR

School: Our Lady of the Way Primary School Wallan East
Class:FOUNDATION A
Date of Birth:24/03/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Landon Hagan

School: Our Lady of the Way Primary School Wallan East
Class:D
Date of Birth:21/09/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:03/06/2026

Name: Ava Missailidis

School: Our Lady of the Way Primary School Wallan East
Class:A
Date of Birth:12/12/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:03/06/2026

Name: MASON BULLAS

School: Our Lady of the Way Primary School Wallan East
Class:B
Date of Birth:10/04/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: ROSAVIN BACULO

School: Christ the Priest Primary School
Class:2 RED
Date of Birth:16/05/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Zara Mhande

School: Christ the Priest Primary School
Class:Red
Date of Birth:16/06/2026
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:03/06/2026

Name: Thomas Long

School: Christ the Priest Primary School
Class:Green
Date of Birth:01/05/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Marianne Kieu

School: Christ the Priest Primary School
Class:Green
Date of Birth:18/01/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:03/06/2026

Name: Malvern Iskandar

School: Christ the Priest Primary School
Class:Red
Date of Birth:19/08/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Sofia Babai

School: Christ the Priest Primary School
Class:Green
Date of Birth:01/04/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Barana Babai

School: Christ the Priest Primary School
Class:Green
Date of Birth:13/03/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Elena Babawe

School: Christ the Priest Primary School
Class:Red
Date of Birth:11/01/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Jamie North

School: St Louis de Montforts Primary School
Class:1PW
Date of Birth:04/04/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:03/06/2026

Name: Sarah Babawe

School: Christ the Priest Primary School
Class:Green
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Matthew Babawe

School: Christ the Priest Primary School
Class:4 red
Date of Birth:20/10/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Louis NGUYEN

School: St Mark's Primary School Dingley
Class:2L
Date of Birth:24/03/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026