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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: Ariel Cricco

School: Holy Trinity Catholic Primary School Eltham North
Class:6CS
Date of Birth:29/07/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/09/2026

Name: Jackson Moseley

School: St Paul the Apostle North Primary School
Class:2F
Date of Birth:05/12/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:08/09/2026

Name: Lana Presutto

School: Holy Trinity Catholic Primary School Eltham North
Class:PAB
Date of Birth:20/02/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:08/09/2026

Name: Nimrat Kaur

School: St Paul the Apostle North Primary School
Class:3/4R
Date of Birth:05/04/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/09/2026

Name: Julia Nguyen

School: St Paul the Apostle North Primary School
Class:Blue
Date of Birth:16/12/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/09/2026

Name: Bianca De Oliveira

School: Lumen Christi Primary School
Class:R
Date of Birth:20/02/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:08/09/2026

Name: tahlia tsouhantaris

School: Holy Trinity Catholic Primary School Eltham North
Class:nd
Date of Birth:08/10/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:08/09/2026

Name: Alexia Tsouhantaris

School: Holy Trinity Catholic Primary School Eltham North
Class:CS
Date of Birth:02/02/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:08/09/2026

Name: Esme Sardi

School: Holy Trinity Catholic Primary School Eltham North
Class:PAB
Date of Birth:07/11/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:07/09/2026

Name: Amy He

School: St Paul the Apostle North Primary School
Class:2F
Date of Birth:17/08/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Mia Marchese

School: St Elizabeth Primary School
Class:1/2 AM
Date of Birth:12/12/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:07/09/2026

Name: Filippo Marchese

School: St Elizabeth Primary School
Class:3/4 EC
Date of Birth:21/09/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:07/09/2026

Name: Evan Prosser

School: Holy Trinity Catholic Primary School Eltham North
Class:SI
Date of Birth:13/09/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:07/09/2026

Name: Alo Perera

School: St Paul the Apostle North Primary School
Class:2F
Date of Birth:15/07/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Santos Theochari

School: St Pauls Primary School
Class:FR
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Santos Theochari

School: St Pauls Primary School
Class:FR
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Avitaj singh Sodhi

School: St Elizabeth Primary School
Class:1/2dc
Date of Birth:28/09/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Tori Thai

School: St Paul the Apostle South Primary School
Class:2N
Date of Birth:06/08/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Maycee Phan

School: St Patrick's Mentone
Class:PNS
Date of Birth:07/07/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Edward Hilliard

School: Holy Trinity Catholic Primary School Eltham North
Class:PAB
Date of Birth:14/03/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:07/09/2026