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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: CHARLIE VANDERZWART

School: Rye Primary School
Class:2B
Date of Birth:16/10/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/05/2026

Name: Lily Harris

School: Rye Primary School
Class:B
Date of Birth:21/02/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: Chase Sanchez

School: Rye Primary School
Class:C
Date of Birth:17/02/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: Sophie Weraksa

School: Rye Primary School
Class:B
Date of Birth:12/04/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: Oscar Weraksa

School: Rye Primary School
Class:B
Date of Birth:01/07/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/05/2026

Name: Ava Barrett

School: Rye Primary School
Class:A
Date of Birth:29/12/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Tobias Mora

School: St Augustine's Primary School
Class:C
Date of Birth:10/02/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Beau Mackey

School: Rye Primary School
Class:0B
Date of Birth:31/05/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Blue Mackey

School: Rye Primary School
Class:4B
Date of Birth:22/02/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Daisy Petersen

School: Rye Primary School
Class:1/2A
Date of Birth:12/07/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Ivie Petersen

School: Rye Primary School
Class:2B
Date of Birth:15/03/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Harriet Farr

School: Rye Primary School
Class:C
Date of Birth:15/04/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Eden Cusack

School: Rye Primary School
Class:1 C
Date of Birth:14/05/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/04/2026

Name: Jimmy keanu Veenstra

School: Rye Primary School
Class:B
Date of Birth:30/09/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/04/2026

Name: Kai Marshall

School: Rye Primary School
Class:C
Date of Birth:16/02/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Winter Johnson

School: Rye Primary School
Class:2C
Date of Birth:01/05/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Marsha Canedo

School: Rye Primary School
Class:B
Date of Birth:03/12/2014
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Zoe Zhang

School: Rye Primary School
Class:1B
Date of Birth:21/09/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Willow Brooks

School: Rye Primary School
Class:A
Date of Birth:09/11/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/04/2026

Name: Brodie Stephenson

School: St Augustine's Primary School
Class:5B
Date of Birth:04/05/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026