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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: Maya Smith

School: St Augustine's Primary School
Class:K
Date of Birth:03/07/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:28/04/2026

Name: Rosie Barker

School: St Augustine's Primary School
Class:N
Date of Birth:04/06/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Madeline Easton

School: St Augustine's Primary School
Class:C
Date of Birth:03/06/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Eli Arvanitis

School: St Augustine's Primary School
Class:5M
Date of Birth:07/03/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Alika-Ann Hulme

School: St Augustine's Primary School
Class:3N
Date of Birth:04/02/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Leona Polic

School: St Augustine's Primary School
Class:P
Date of Birth:22/01/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Astrid Donohue

School: St Augustine's Primary School
Class:C
Date of Birth:01/06/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Indie Mora

School: St Augustine's Primary School
Class:P
Date of Birth:20/01/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Ayla Brooks

School: St Augustine's Primary School
Class:V
Date of Birth:25/11/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Millie McGurk

School: St Augustine's Primary School
Class:4P
Date of Birth:20/07/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Julian McGurk

School: St Augustine's Primary School
Class:5M
Date of Birth:24/04/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Hudson Murphy

School: St Augustine's Primary School
Class:T
Date of Birth:08/07/2014
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Sophie Hahir

School: St Augustine's Primary School
Class:4W
Date of Birth:31/12/2015
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Madeleine Wight

School: St Augustine's Primary School
Class:J
Date of Birth:07/02/2020
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Rose Gillespie

School: St Augustine's Primary School
Class:Grade 1 A
Date of Birth:10/06/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Ryder Stasek

School: St Augustine's Primary School
Class:QD
Date of Birth:06/06/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Layla Teasdale

School: St Augustine's Primary School
Class:P
Date of Birth:28/12/2017
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Eliza Teasdale

School: St Augustine's Primary School
Class:Q/D
Date of Birth:17/10/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Ava Puvaveeranon

School: St Augustine's Primary School
Class:1J
Date of Birth:05/12/2019
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:27/04/2026

Name: Olivia mihai

School: St Peter Chanel Primary School
Class:3n
Date of Birth:02/07/2017
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/04/2026