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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: Levi Khalil

School: Northside Christian College
Class:Prep L
Date of Birth:21/01/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/04/2026

Name: Leah Khalil

School: Northside Christian College
Class:Prep L
Date of Birth:21/01/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/04/2026

Name: Mia Dela Vega

School: Northside Christian College
Class:4L
Date of Birth:24/06/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Jethro Dela Vega

School: Northside Christian College
Class:1L
Date of Birth:13/05/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Shayan Habibian

School: Northside Christian College
Class:3s
Date of Birth:12/07/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Scarlett Rumaseb

School: Northside Christian College
Class:8D
Date of Birth:24/09/2012
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Victoria Rumaseb

School: Northside Christian College
Class:5M
Date of Birth:13/01/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Pascal Rumaseb

School: Northside Christian College
Class:1B
Date of Birth:07/01/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Jack(junlin) zhu

School: Northside Christian College
Class:d
Date of Birth:24/06/2012
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Nissi Shagwai

School: Northside Christian College
Class:9
Date of Birth:28/03/2012
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Gabriel Chahine

School: St Augustine's Primary School
Class:C
Date of Birth:02/07/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Kirra Chatfield

School: St Augustine's Primary School
Class:Prep Kn
Date of Birth:25/09/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Romeo Kostov

School: Northside Christian College
Class:W
Date of Birth:03/10/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Aiden Kostov

School: Northside Christian College
Class:K
Date of Birth:05/11/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Artie Barker

School: St Augustine's Primary School
Class:K
Date of Birth:17/03/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Julian Kostov

School: Northside Christian College
Class:N
Date of Birth:11/01/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Maya Smith

School: St Augustine's Primary School
Class:K
Date of Birth:03/07/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Rosie Barker

School: St Augustine's Primary School
Class:N
Date of Birth:04/06/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Madeline Easton

School: St Augustine's Primary School
Class:C
Date of Birth:03/06/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Eli Arvanitis

School: St Augustine's Primary School
Class:5M
Date of Birth:07/03/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026