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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: Josh Loschiavo

School: St Macartan's Primary School
Class:6O
Date of Birth:06/11/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/07/2026

Name: emma newton

School: St Macartan's Primary School
Class:CD
Date of Birth:17/07/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/07/2026

Name: Tom O’Shannessy

School: St Macartan's Primary School
Class:Prep F
Date of Birth:22/10/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Elsie O’Shannessy

School: St Macartan's Primary School
Class:3F
Date of Birth:29/11/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Franklin Bourne

School: St Macartan's Primary School
Class:4S
Date of Birth:04/12/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Orla Dee

School: St Macartan's Primary School
Class:3F
Date of Birth:31/08/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/07/2026

Name: Luca Allen

School: St Macartan's Primary School
Class:Prep Hoyle
Date of Birth:26/04/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/07/2026

Name: Kaydence Evans

School: Berwick Chase Primary School
Class:D
Date of Birth:21/03/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Reona KC

School: Corpus Christi Primary School Glenroy
Class:FJ
Date of Birth:13/12/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/07/2026

Name: Zhekai Zhu

School: Narre Warren North Primary School
Class:A
Date of Birth:20/03/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/07/2026

Name: LEXI LAMA

School: Corpus Christi Primary School Glenroy
Class:Foundation
Date of Birth:29/03/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/07/2026

Name: Lucy Reid

School: Corpus Christi Primary School Glenroy
Class:3/4 BW
Date of Birth:19/07/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/07/2026

Name: Harriet Kenny

School: Corpus Christi Primary School Glenroy
Class:Torcasio
Date of Birth:24/10/1982
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:10/07/2026

Name: Rayzel Koirala

School: Corpus Christi Primary School Glenroy
Class:J
Date of Birth:23/12/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:10/07/2026

Name: Ellysse Bidari

School: Corpus Christi Primary School Glenroy
Class:FJ
Date of Birth:22/08/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:10/07/2026

Name: Shayan Ekanayake

School: Berwick Chase Primary School
Class:B
Date of Birth:03/09/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/07/2026

Name: Suri Ekanayake

School: Berwick Chase Primary School
Class:B
Date of Birth:23/05/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:07/07/2026

Name: Ronisha Maharjan Dheke

School: Corpus Christi Primary School Glenroy
Class:1
Date of Birth:04/04/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:06/07/2026

Name: Isla Jones

School: Narre Warren North Primary School
Class:C
Date of Birth:30/05/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:06/07/2026