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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: Alyssa Stomps

School: Corpus Christi Werribee
Class:Orange
Date of Birth:24/03/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Gabriel Chahine

School: St Augustine's Primary School
Class:PrepC
Date of Birth:02/07/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Maxwell Blazejewski

School: St Augustine's Primary School
Class:W
Date of Birth:10/05/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Frankie Brittain

School: Rye Primary School
Class:A
Date of Birth:22/06/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Ava Pateras

School: Corpus Christi Werribee
Class:AD
Date of Birth:28/10/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:05/05/2026

Name: Bentley Meertens

School: Corpus Christi Werribee
Class:Surmiak
Date of Birth:31/05/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Millie Thomson

School: Rye Primary School
Class:Foundation c
Date of Birth:10/01/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Oscar Thomson

School: Rye Primary School
Class:4 B
Date of Birth:02/04/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Kulwinderjot singh Pandher

School: St John the Apostle Primary School Tarneit
Class:Prep
Date of Birth:02/07/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Mia Faro

School: St Augustine's Primary School
Class:5p
Date of Birth:13/08/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Luca Taranto

School: Corpus Christi Werribee
Class:1MR
Date of Birth:22/09/2019
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Betanya Nega

School: St John the Apostle Primary School Tarneit
Class:Prep Dsouza
Date of Birth:29/06/2020
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Glen Pinto

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

Name: Valentina Zerafa

School: Choose School
Class:Foundation
Date of Birth:20/05/2026
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:05/05/2026

Name: Connor Mulligan

School: Rye Primary School
Class:3B
Date of Birth:31/01/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:05/05/2026

Name: Zechary Tekle

School: St John the Apostle Primary School Tarneit
Class:Prep
Date of Birth:29/06/2020
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:04/05/2026

Name: Felix Mckean

School: Rye Primary School
Class:B
Date of Birth:24/02/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/05/2026

Name: Penelope Blanch

School: Rye Primary School
Class:A
Date of Birth:04/06/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/05/2026

Name: Freddie mckean

School: Rye Primary School
Class:B
Date of Birth:24/02/2018
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/05/2026

Name: Theodore Blanch

School: Rye Primary School
Class:A
Date of Birth:13/04/2016
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:04/05/2026