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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: Billy Jarvis

School: Rye Primary School
Class:b
Date of Birth:24/12/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:30/04/2026

Name: OWEN PHILLIPS

School: Rye Primary School
Class:PREP B
Date of Birth:18/11/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Baden Taube

School: St Augustine's Primary School
Class:UW
Date of Birth:06/01/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Eliza Galea

School: St Augustine's Primary School
Class:Prep K
Date of Birth:07/05/2026
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:30/04/2026

Name: Walter Plunkett

School: St Augustine's Primary School
Class:Prep V
Date of Birth:30/06/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/04/2026

Name: Bondi Mason

School: St Augustine's Primary School
Class:B
Date of Birth:16/01/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/04/2026

Name: Bruce Mason

School: St Augustine's Primary School
Class:P
Date of Birth:31/03/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/04/2026

Name: Jordan Ross

School: St Augustine's Primary School
Class:W
Date of Birth:10/09/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/04/2026

Name: MANXIN XUE

School: Northside Christian College
Class:M
Date of Birth:30/03/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/04/2026

Name: CHANGXIN XUE

School: Northside Christian College
Class:M
Date of Birth:13/08/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/04/2026

Name: Levi Khalil

School: Northside Christian College
Class:Prep L
Date of Birth:21/01/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/04/2026

Name: Leah Khalil

School: Northside Christian College
Class:Prep L
Date of Birth:21/01/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:29/04/2026

Name: Mia Dela Vega

School: Northside Christian College
Class:4L
Date of Birth:24/06/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Jethro Dela Vega

School: Northside Christian College
Class:1L
Date of Birth:13/05/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Shayan Habibian

School: Northside Christian College
Class:3s
Date of Birth:12/07/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Scarlett Rumaseb

School: Northside Christian College
Class:8D
Date of Birth:24/09/2012
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Victoria Rumaseb

School: Northside Christian College
Class:5M
Date of Birth:13/01/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Pascal Rumaseb

School: Northside Christian College
Class:1B
Date of Birth:07/01/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Jack(junlin) zhu

School: Northside Christian College
Class:d
Date of Birth:24/06/2012
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Nissi Shagwai

School: Northside Christian College
Class:9
Date of Birth:28/03/2012
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026