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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: Cheryl Daniel Joseph

School: Northside Christian College
Class:4L
Date of Birth:20/08/2016
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:26/04/2026

Name: Eliana Goburdhun

School: Northside Christian College
Class:S
Date of Birth:12/02/2012
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:25/04/2026

Name: Amnen Gormiesa

School: St Peter Chanel Primary School
Class:PrepM
Date of Birth:06/02/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:24/04/2026

Name: Maya Shepherd

School: Northside Christian College
Class:2M
Date of Birth:26/03/2019
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:24/04/2026

Name: Benjamin Ying

School: Northside Christian College
Class:L
Date of Birth:29/01/2021
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:24/04/2026

Name: Hugo Shepherd

School: Northside Christian College
Class:L
Date of Birth:09/02/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:24/04/2026

Name: Tiahna Mendez

School: St Peter Chanel Primary School
Class:R
Date of Birth:27/07/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:24/04/2026

Name: SIENNA SHIU

School: St Peter Chanel Primary School
Class:PREP M
Date of Birth:26/03/2021
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:23/04/2026

Name: James Simic

School: Northside Christian College
Class:L
Date of Birth:02/06/2016
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:23/04/2026

Name: Jessie Simic

School: Northside Christian College
Class:W
Date of Birth:27/11/2014
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:23/04/2026

Name: Xavier D’Cunha

School: St Peter Chanel Primary School
Class:6B
Date of Birth:22/09/2014
Eligible:Yes
To Be Treated:Yes
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:23/04/2026

Name: MUHAMMAD QAISER

School: Northside Christian College
Class:M
Date of Birth:13/07/2015
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:23/04/2026

Name: Joseph morales

School: St Peter Chanel Primary School
Class:T
Date of Birth:29/07/2018
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:23/04/2026

Name: Zion Lopez

School: St Peter Chanel Primary School
Class:A
Date of Birth:01/09/2017
Eligible:No
To Be Treated:Yes
Treatment Date:N/A
Paying?:Yes
Treatment Done:No
Date Submitted:22/04/2026

Name: Steffany Paul

School: Northside Christian College
Class:M
Date of Birth:16/04/2018
Eligible:No
To Be Treated:No
Treatment Date:N/A
Paying?:No
Treatment Done:No
Date Submitted:21/04/2026