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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: Albert Schultz

School: St Louis de Montforts Primary School
Class:4BE
Date of Birth:10/01/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/06/2026

Name: Laycie Uwase

School: Christ the Priest Primary School
Class:Blue
Date of Birth:13/11/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Raghav Prasad

School: St Therese's Primary School Cranbourne
Class:JK
Date of Birth:26/12/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Alecky Gasana

School: Christ the Priest Primary School
Class:Blue
Date of Birth:15/10/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Jasmine Pandher

School: Christ the Priest Primary School
Class:Red
Date of Birth:28/12/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Anthony Bui

School: Christ the Priest Primary School
Class:Green
Date of Birth:23/03/2026
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Christina Bui

School: Christ the Priest Primary School
Class:Red
Date of Birth:29/03/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Armani Saad

School: Christ the Priest Primary School
Class:Prep RED
Date of Birth:21/03/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: David Nguyen

School: St Mark's Primary School Dingley
Class:5/6 JV
Date of Birth:24/07/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: SADIE QUINLAN

School: Christ the Priest Primary School
Class:RED
Date of Birth:05/03/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Giovanni Qaqoz

School: Holy Cross Primary School
Class:Ms
Date of Birth:24/10/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Rohan Talreja

School: Point Cook P-9 College
Class:A
Date of Birth:27/11/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Davina El-Amiouni

School: Christ the Priest Primary School
Class:Green
Date of Birth:20/09/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Dante El-Amiouni

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:02/06/2026

Name: Karnav singh Takhtar

School: Christ the Priest Primary School
Class:Green
Date of Birth:21/03/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Kritman singh Takhtar

School: Christ the Priest Primary School
Class:Blue
Date of Birth:21/03/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Hargun Kaur Takhtar

School: Christ the Priest Primary School
Class:Blue
Date of Birth:07/10/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026

Name: Sara Rose Filipovski

School: Christ the Priest Primary School
Class:1green
Date of Birth:23/01/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Esme Tran

School: Christ the Priest Primary School
Class:Blue
Date of Birth:07/11/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/06/2026

Name: Jesse-James Cooper

School: Christ the Priest Primary School
Class:Blue
Date of Birth:01/04/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/06/2026