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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: Jasper Areaiiti

School: St Francis de Sales Primary School Lynbrook
Class:AE
Date of Birth:26/09/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/09/2026

Name: Charlotte Vitali

School: St Mary’s Whittlesea
Class:1D
Date of Birth:26/08/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/09/2026

Name: Maverick Vitali

School: St Mary’s Whittlesea
Class:3/4C
Date of Birth:17/12/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:02/09/2026

Name: Mary Finn

School: St Patrick's Mentone
Class:PNS
Date of Birth:14/04/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: Anais Olivier-Mohabeer

School: St Francis de Sales Primary School Lynbrook
Class:AE
Date of Birth:04/02/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: James Olivier-Mohabeer

School: St Francis de Sales Primary School Lynbrook
Class:TB
Date of Birth:18/04/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: CHARLIE CAVALCANTE

School: St Mary’s Whittlesea
Class:1D
Date of Birth:05/10/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: Kelly Ding

School: Sacred Heart Primary School Oakleigh
Class:H
Date of Birth:02/03/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/09/2026

Name: Catherine Ding

School: Sacred Heart Primary School Oakleigh
Class:1/2O
Date of Birth:19/11/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: Kelly Ding

School: Sacred Heart Primary School Oakleigh
Class:H
Date of Birth:02/03/2021
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: Catherine Ding

School: Sacred Heart Primary School Oakleigh
Class:1/2 O
Date of Birth:19/11/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/09/2026

Name: Viven Venu

School: St Francis de Sales Primary School Lynbrook
Class:LS1
Date of Birth:28/09/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: Hunter Ambrose

School: St Patrick's Mentone
Class:4
Date of Birth:24/06/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: Stevie Boylan

School: St Patrick's Mentone
Class:2KP
Date of Birth:18/07/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: Eleanor O’Hara

School: St Francis de Sales Primary School Lynbrook
Class:MF
Date of Birth:19/04/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/09/2026

Name: Grace Dungan

School: St Patrick's Mentone
Class:2SC
Date of Birth:02/10/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: Oliver Dungan

School: St Patrick's Mentone
Class:4CL
Date of Birth:01/11/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: Maeve O’Hara

School: St Francis de Sales Primary School Lynbrook
Class:SF
Date of Birth:19/04/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/09/2026

Name: Emmanuel DSouza

School: St Patrick's Mentone
Class:4DM
Date of Birth:17/12/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:01/09/2026

Name: Ivy De Silva

School: Sacred Heart Primary School Oakleigh
Class:F
Date of Birth:23/12/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:01/09/2026