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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: ALANI ISRAEL LEFAI

School: St Peter Chanel Primary School
Class:5R
Date of Birth:12/03/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/03/2026

Name: Leo Radford

School: Northside Christian College
Class:1FB
Date of Birth:02/11/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:28/03/2026

Name: Bryan Manzan Bernardo

School: Northside Christian College
Class:N
Date of Birth:27/11/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:27/03/2026