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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: HIAAN KOLAHALAM

School: St John the Apostle Primary School Tarneit
Class:Prep
Date of Birth:17/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Daiwik Aggarwal

School: St John the Apostle Primary School Tarneit
Class:Prep Bacon
Date of Birth:25/10/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Chinonso Omalu

School: St John the Apostle Primary School Tarneit
Class:1 Nguyen
Date of Birth:14/09/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Chinonso Omalu

School: St John the Apostle Primary School Tarneit
Class:1 Nguyen
Date of Birth:14/09/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: SOBHAT SINGH SANDHU

School: St John the Apostle Primary School Tarneit
Class:M
Date of Birth:12/02/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Duaa Kaur SANDHU

School: St John the Apostle Primary School Tarneit
Class:R
Date of Birth:11/02/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Eli Campbell

School: St John the Apostle Primary School Tarneit
Class:6T
Date of Birth:24/03/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Satkartar Singh Padda

School: St John the Apostle Primary School Tarneit
Class:B
Date of Birth:03/02/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Nellie Castles

School: St Augustine's Primary School
Class:4W
Date of Birth:19/07/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Tane Prior

School: Rye Primary School
Class:A
Date of Birth:15/11/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Jaxon Toth

School: Rye Primary School
Class:3A
Date of Birth:08/10/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: CHARLIE VANDERZWART

School: Rye Primary School
Class:2B
Date of Birth:16/10/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Lily Harris

School: Rye Primary School
Class:B
Date of Birth:21/02/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: Chase Sanchez

School: Rye Primary School
Class:C
Date of Birth:17/02/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: Sophie Weraksa

School: Rye Primary School
Class:B
Date of Birth:12/04/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: Oscar Weraksa

School: Rye Primary School
Class:B
Date of Birth:01/07/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: Ava Barrett

School: Rye Primary School
Class:A
Date of Birth:29/12/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Tobias Mora

School: St Augustine's Primary School
Class:C
Date of Birth:10/02/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Beau Mackey

School: Rye Primary School
Class:0B
Date of Birth:31/05/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Blue Mackey

School: Rye Primary School
Class:4B
Date of Birth:22/02/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026