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0
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: Alena Yousif

School: Holy Cross Primary School
Class:BS
Date of Birth:15/11/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Malakye Jordon

School: Holy Cross Primary School
Class:1AS
Date of Birth:20/09/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Aleena Dhillon

School: Holy Cross Primary School
Class:MS
Date of Birth:03/08/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/06/2026

Name: Alec James

School: Christ the King Primary School
Class:5/6B
Date of Birth:14/11/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Harper Blazey

School: St Theresa's Primary School Albion
Class:5/6 A
Date of Birth:22/06/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/06/2026

Name: PEYTON BAMFORD

School: Point Cook P-9 College
Class:A
Date of Birth:26/01/2014
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: JASPER BAMFORD

School: Point Cook P-9 College
Class:E
Date of Birth:11/09/2012
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Oscar Tutaki

School: Point Cook P-9 College
Class:1B
Date of Birth:13/06/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: Riku Adachi

School: Point Cook P-9 College
Class:A
Date of Birth:22/11/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/06/2026

Name: MARIAH PADANIS

School: Point Cook P-9 College
Class:5D
Date of Birth:03/12/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/05/2026

Name: Jordan Padanis

School: Point Cook P-9 College
Class:7A
Date of Birth:08/04/2013
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/05/2026

Name: Leah Wei

School: Point Cook P-9 College
Class:D
Date of Birth:02/10/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/05/2026

Name: Eve Kim

School: Point Cook P-9 College
Class:A
Date of Birth:15/12/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/05/2026

Name: Caleb Lee

School: St Therese's Primary School Cranbourne
Class:O
Date of Birth:05/05/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/05/2026

Name: Raena Kumar

School: Point Cook P-9 College
Class:D
Date of Birth:27/04/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/05/2026

Name: Reyansh Kumar

School: Point Cook P-9 College
Class:A
Date of Birth:05/12/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/05/2026

Name: Shaurya Nagi

School: Point Cook P-9 College
Class:C
Date of Birth:27/01/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/05/2026

Name: Aradhya Nagi

School: Point Cook P-9 College
Class:A
Date of Birth:03/06/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/05/2026

Name: Lachlan Baker

School: Christ the Priest Primary School
Class:Red
Date of Birth:18/09/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/05/2026

Name: Natalia Barbaritano

School: Point Cook P-9 College
Class:5F
Date of Birth:16/02/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/05/2026
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