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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: Marco Laria

School: St Patrick's Mentone
Class:4CL
Date of Birth:01/04/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Aria Sartori

School: Holy Trinity Catholic Primary School Eltham North
Class:1WS
Date of Birth:04/04/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:07/09/2026

Name: Sofia Dargham

School: St Pauls Primary School
Class:1/2cv
Date of Birth:05/09/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Violet Ockwell

School: St Patrick's Mentone
Class:2KP
Date of Birth:18/06/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Anton Dargham

School: St Pauls Primary School
Class:PrepMR
Date of Birth:19/05/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Wesley Ockwell

School: St Patrick's Mentone
Class:5MH
Date of Birth:20/11/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Xavier Ockwell

School: St Patrick's Mentone
Class:6FH
Date of Birth:07/04/2014
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Micah Gomez

School: St Patrick's Mentone
Class:2KP
Date of Birth:10/02/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Kezia Gomez

School: St Patrick's Mentone
Class:3LM
Date of Birth:09/06/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Lani Hall

School: St Patrick's Mentone
Class:KP
Date of Birth:29/12/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Pia Arnolfo

School: St Patrick's Mentone
Class:CS
Date of Birth:12/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Spencer Lock

School: Holy Trinity Catholic Primary School Eltham North
Class:PAB
Date of Birth:02/09/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Mia Gaulke

School: Holy Trinity Catholic Primary School Eltham North
Class:1RM
Date of Birth:16/05/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Heaven Sedhom

School: Sacred Heart Primary School Oakleigh
Class:00H
Date of Birth:28/05/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Mia Delgado Villegas

School: Sacred Heart Primary School Oakleigh
Class:5/6 c
Date of Birth:16/01/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/09/2026

Name: Eva Mchugh

School: Sacred Heart Primary School Oakleigh
Class:34s
Date of Birth:11/08/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:06/09/2026

Name: Lola Mchugh

School: Sacred Heart Primary School Oakleigh
Class:1/2
Date of Birth:13/07/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:06/09/2026

Name: Jack Mann

School: Sacred Heart Primary School Oakleigh
Class:1/2 IP
Date of Birth:08/10/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:06/09/2026

Name: Kiara Camilleri

School: Sacred Heart Primary School Oakleigh
Class:Prep H
Date of Birth:26/03/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:06/09/2026

Name: Amelya Camilleri

School: Sacred Heart Primary School Oakleigh
Class:1/2 IP
Date of Birth:20/10/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:06/09/2026