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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: Leauwe Mikelle Sy

School: St Theresa's Primary School Albion
Class:Prep 1C
Date of Birth:10/03/3021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/05/2026

Name: Alaina-Grace Valavala

School: Fleetwood Primary School
Class:1J
Date of Birth:27/09/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Arvin Karimi

School: Fleetwood Primary School
Class:S
Date of Birth:24/01/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Liam Iliev

School: Christ the Priest Primary School
Class:Blue
Date of Birth:12/12/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Maverick Doederlein

School: St Mark's Primary School Dingley
Class:PrepB
Date of Birth:20/07/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/05/2026

Name: Teddy Doederlein

School: St Mark's Primary School Dingley
Class:3/4D
Date of Birth:25/07/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/05/2026

Name: Mason Galea

School: Christ the Priest Primary School
Class:4 Red
Date of Birth:07/02/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: JESSICA PHAM

School: Christ the Priest Primary School
Class:6 RED
Date of Birth:16/09/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Kayden Parkes

School: Fleetwood Primary School
Class:2d
Date of Birth:14/08/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Tessa Shaji

School: St Thomas the Apostle Primary School Cranbourne East
Class:E
Date of Birth:21/05/2014
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Harper Wilson

School: St Mark's Primary School Dingley
Class:PD
Date of Birth:26/05/2026
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/05/2026

Name: Jasmine Pham

School: St Mark's Primary School Dingley
Class:CF
Date of Birth:17/04/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/05/2026

Name: Lara Strano

School: St Christophers Primary School
Class:Prep maroon
Date of Birth:30/05/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:26/05/2026

Name: Anthony Tat

School: Christ the King Primary School
Class:5/6C
Date of Birth:24/01/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Loulia Alshahaf

School: St Christophers Primary School
Class:White
Date of Birth:13/12/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Dinh Victoria

School: Christ the King Primary School
Class:3/4a
Date of Birth:10/08/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Mason Dong Quan Ha

School: Christ the King Primary School
Class:1/2C
Date of Birth:03/09/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Maximilian Thomas Bijo

School: St Therese's Primary School Cranbourne
Class:E
Date of Birth:11/11/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Marcellin Bijo

School: St Therese's Primary School Cranbourne
Class:B
Date of Birth:15/06/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026

Name: Jordan Do

School: Christ the King Primary School
Class:3/4B
Date of Birth:06/01/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/05/2026