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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: Aurora Haynes-Latham

School: Fleetwood Primary School
Class:1K
Date of Birth:04/06/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:12/05/2026

Name: Macsen Reynolds

School: St Francis Xavier Primary School
Class:4do
Date of Birth:02/12/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/05/2026

Name: Carine Arun

School: St Thomas the Apostle Primary School Cranbourne East
Class:B
Date of Birth:26/06/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/05/2026

Name: Lachlan Dawson

School: St Francis Xavier Primary School
Class:LC
Date of Birth:19/08/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:12/05/2026

Name: Indiana-Rose Kouloubos

School: Fleetwood Primary School
Class:J
Date of Birth:20/06/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/05/2026

Name: Zac Gray

School: Rye Primary School
Class:C
Date of Birth:07/02/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/05/2026

Name: Jay haynes

School: Rye Primary School
Class:ooc
Date of Birth:17/03/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/05/2026

Name: Wills Haynes

School: Rye Primary School
Class:03b
Date of Birth:20/07/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/05/2026

Name: Evelyn Stratton

School: Corpus Christi Werribee
Class:3NG
Date of Birth:19/10/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/05/2026

Name: Alice Stratton

School: Corpus Christi Werribee
Class:5NA
Date of Birth:11/09/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/05/2026

Name: Amelia Fitzgerald

School: Corpus Christi Werribee
Class:SP
Date of Birth:23/02/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/05/2026

Name: Harry Fitzgerald

School: Corpus Christi Werribee
Class:BF
Date of Birth:08/09/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/05/2026

Name: Isla Peterson

School: St John the Apostle Primary School Tarneit
Class:D
Date of Birth:06/11/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/05/2026

Name: Leon Peterson

School: St John the Apostle Primary School Tarneit
Class:G
Date of Birth:11/07/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:11/05/2026

Name: Rayansh Allam

School: St John the Apostle Primary School Tarneit
Class:G
Date of Birth:18/02/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:11/05/2026

Name: LOUISE ANGELA AGATEP

School: St John the Apostle Primary School Tarneit
Class:Bongetti
Date of Birth:14/11/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:11/05/2026

Name: Safreen Zahra Nadiri

School: Fleetwood Primary School
Class:2c
Date of Birth:28/10/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/05/2026

Name: Gul bashra Gul bashra

School: Fleetwood Primary School
Class:C
Date of Birth:17/07/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/05/2026

Name: Sahil Sadeqi

School: Fleetwood Primary School
Class:Fd
Date of Birth:15/08/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/05/2026

Name: Isabella Apap

School: Corpus Christi Werribee
Class:2SM
Date of Birth:11/04/2018
Eligible:Yes
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:09/05/2026