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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: Shayna Taheri

School: St Francis Xavier Primary School
Class:Bm
Date of Birth:02/03/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Dasiru Dahanayaka

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:21/05/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/05/2026

Name: Mia Garing

School: St John the Apostle Primary School Tarneit
Class:2G
Date of Birth:22/01/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/05/2026

Name: Pahul Sahota

School: St John the Apostle Primary School Tarneit
Class:Grade 4
Date of Birth:07/02/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/05/2026

Name: Daelan Adelson

School: St Thomas the Apostle Primary School Cranbourne East
Class:3A
Date of Birth:03/05/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Aadil Neil Madhavan

School: St Thomas the Apostle Primary School Cranbourne East
Class:D
Date of Birth:15/01/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:13/05/2026

Name: Kingston L’eveque

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:19/02/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:13/05/2026

Name: Arthur Riley

School: St Francis Xavier Primary School
Class:1CM
Date of Birth:16/06/2026
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/05/2026

Name: Arabelle Riley

School: St Francis Xavier Primary School
Class:4RS
Date of Birth:20/12/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/05/2026

Name: Avleen Devgan

School: St Thomas the Apostle Primary School Cranbourne East
Class:A
Date of Birth:22/06/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/05/2026

Name: Olivia Borin

School: St Francis Xavier Primary School
Class:KH
Date of Birth:11/08/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/05/2026

Name: Ameylle Kqrunathilaka

School: St Thomas the Apostle Primary School Cranbourne East
Class:E
Date of Birth:02/03/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/05/2026

Name: George Bearsley

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:17/09/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/05/2026

Name: Nyla Nayebi

School: St Francis Xavier Primary School
Class:2SK
Date of Birth:21/09/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/05/2026

Name: Pippa Tully

School: Rye Primary School
Class:B
Date of Birth:20/03/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/05/2026

Name: Arlo Tully

School: Rye Primary School
Class:A
Date of Birth:30/05/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/05/2026

Name: Aanika Seth

School: Turrun Primary School
Class:A
Date of Birth:27/02/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/05/2026

Name: Noah Burton

School: Corpus Christi Werribee
Class:4md
Date of Birth:25/08/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/05/2026

Name: Fateh Sidhu

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:10/02/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/05/2026

Name: MARYAM (Sousan) Ali

School: Fleetwood Primary School
Class:56F
Date of Birth:03/10/2015
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/05/2026