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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: Elyse Robinson

School: Northside Christian College
Class:1L
Date of Birth:08/02/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/04/2026

Name: Annette Robinson

School: Northside Christian College
Class:3K
Date of Birth:08/11/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:02/04/2026

Name: Leroni Tuilagi-Lauvao

School: St Peter Chanel Primary School
Class:Prep
Date of Birth:08/03/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/04/2026

Name: Gabriel Kevin

School: Northside Christian College
Class:Z
Date of Birth:02/09/2012
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/04/2026

Name: Lily O’Callaghan

School: St Peter Chanel Primary School
Class:2T
Date of Birth:13/03/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/04/2026

Name: Payciajiit Kaur Markjit Singh

School: St Peter Chanel Primary School
Class:3N
Date of Birth:04/06/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:31/03/2026

Name: Grace Panter

School: Northside Christian College
Class:2H
Date of Birth:19/05/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/03/2026

Name: Charles Panter

School: Northside Christian College
Class:Prep P
Date of Birth:16/08/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/03/2026

Name: Lucca Dannemann

School: Northside Christian College
Class:Prep N
Date of Birth:24/07/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:31/03/2026

Name: Waverley Fry

School: Northside Christian College
Class:Peep N
Date of Birth:08/09/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/03/2026

Name: Alessia Tamburro

School: St Peter Chanel Primary School
Class:Prep c
Date of Birth:07/12/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/03/2026

Name: Jayden Jackson

School: St Peter Chanel Primary School
Class:1M
Date of Birth:13/01/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:31/03/2026

Name: Kayden Truong

School: St Peter Chanel Primary School
Class:1G
Date of Birth:29/12/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/03/2026

Name: Lorena Carrillo

School: St Peter Chanel Primary School
Class:Prep M
Date of Birth:24/03/1990
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/03/2026

Name: Evie Roussety

School: St Peter Chanel Primary School
Class:A
Date of Birth:21/12/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/03/2026

Name: Zoe Roussety

School: St Peter Chanel Primary School
Class:L
Date of Birth:24/05/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/03/2026

Name: Enrique Flores

School: St Peter Chanel Primary School
Class:L
Date of Birth:13/03/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/03/2026

Name: William Broadhurst

School: St Peter Chanel Primary School
Class:Prep D
Date of Birth:04/03/2026
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/03/2026

Name: Leonardo Suares

School: St Peter Chanel Primary School
Class:T
Date of Birth:11/05/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/03/2026

Name: ZEPHANIAH KAUTOKE LEFAI

School: St Peter Chanel Primary School
Class:3N
Date of Birth:11/11/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/03/2026