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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: Jack Prouten

School: Rye Primary School
Class:00C
Date of Birth:18/02/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:04/05/2026

Name: Anna Paul

School: St John the Apostle Primary School Tarneit
Class:A
Date of Birth:23/07/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/05/2026

Name: Gabrielle Skye Castillo

School: St John the Apostle Primary School Tarneit
Class:Bonghetti
Date of Birth:22/02/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/05/2026

Name: Amael Sebastian Castillo

School: St John the Apostle Primary School Tarneit
Class:1 Bacon
Date of Birth:18/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/05/2026

Name: Marion Bienvenu

School: St Augustine's Primary School
Class:Prep C
Date of Birth:15/04/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/05/2026

Name: Kabir Multani

School: St John the Apostle Primary School Tarneit
Class:3
Date of Birth:30/03/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:03/05/2026

Name: Theodore Jimenez

School: St John the Apostle Primary School Tarneit
Class:Ryall
Date of Birth:11/04/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:03/05/2026

Name: Senna May

School: Rye Primary School
Class:6A
Date of Birth:19/12/2014
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/05/2026

Name: James Healey

School: St Augustine's Primary School
Class:Prep C
Date of Birth:10/06/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/05/2026

Name: Ethan McCorrison

School: St Augustine's Primary School
Class:1J
Date of Birth:24/07/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/05/2026

Name: Leo Natoli

School: St Augustine's Primary School
Class:Miss Kay
Date of Birth:22/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/05/2026

Name: Jigar singh Rayat

School: St John the Apostle Primary School Tarneit
Class:B
Date of Birth:29/08/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:03/05/2026

Name: Bonnie Shiba

School: Rye Primary School
Class:B
Date of Birth:06/05/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/05/2026

Name: Harper Mallillin

School: St John the Apostle Primary School Tarneit
Class:Prep Bacon
Date of Birth:06/10/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: Gabriel Almocera

School: St John the Apostle Primary School Tarneit
Class:W
Date of Birth:24/10/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: Cristiano Theuma

School: St John the Apostle Primary School Tarneit
Class:B3
Date of Birth:15/05/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Rose Fordyce-Balik

School: St John the Apostle Primary School Tarneit
Class:4Smaza
Date of Birth:13/09/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: Calvin Balik

School: St John the Apostle Primary School Tarneit
Class:2 Gomez
Date of Birth:06/04/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: JETT WILSON

School: St John the Apostle Primary School Tarneit
Class:Prep Vee Bacon
Date of Birth:26/12/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Zion Nooroa

School: St John the Apostle Primary School Tarneit
Class:Wendy
Date of Birth:08/09/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026