• Family Application & Referral Form

    Family Application & Referral Form

    Please register your student below by completing and submitting the form

  • Parent Application & Referral Form

  • When submitting your application, please attach a copy of your student's most recent report card, along with any standardized test scores or progress reports. Please note, the information you provide in the application will be kept confidential and will be used for internal tracking purposes only. If you are unable to upload your documents below, please email them to info@primaryfocuslc.com with your student's name in the subject bar. One application per student. 

  • A. BASIC STUDENT INFORMATION

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  • B. REFERRAL INFORMATION

  • C. GUARDIAN INFORMATION

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    Registration Fee Only
    Monthly Parent Connection Membership Fees
    Yearly Parent Connection Membership Fees
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          Registration Fee Only
          Mental Health in Education Program Voucher Product Image
          Mental Health in Education Program VoucherMHIE voucher participants only. Take the first step and get your student assessed in Reading, Math and Science. Parents, you will receive a link in your inbox that will take your student to the assessment. Please allow ample time for your student to test. Minimize distractions. A copy of the results will be emailed to you.
          $ Free
            
          $99 Registration Fee Product Image
          $99 Registration FeeTake the first step and get your student assessed in Reading, Math and Science. Parents, you will receive a link in your inbox that will take your student to the assessment. Please allow ample time for your student to test. Minimize distractions. A copy of the results will be emailed to you.
          $99.00
            
          Sibling Discount Product Image
          Sibling Discount
          $49.00
            
          Monthly Parent Connection Membership Fees
          MHIE Program Voucher -Parent Connection Basic Membership (Monthly) 2 Product Image
          MHIE Program Voucher -Parent Connection Basic Membership (Monthly) 2Primary Focus Learning Center offers a parent-only platform designed to help with the day-to-day realities of parenting and functioning as a family. This program strives to influence children’s outcomes by motivating changes in parents through a variety of educational workshops, support services and practical support. Parents are the most important factor in a student’s life and crucial to their overall success. Therefore, strengthening our families holistically makes us all stronger. For more plan details, please visit the Registration page on our website www.primaryfocuslc.com.
          $ Free
            
          Parent Connection Basic Membership (Monthly) Product Image
          Parent Connection Basic Membership (Monthly)Primary Focus Learning Center offers a parent-only platform designed to help with the day-to-day realities of parenting and functioning as a family. This program strives to influence children’s outcomes by motivating changes in parents through a variety of educational workshops, support services and practical support. Parents are the most important factor in a student’s life and crucial to their overall success. Therefore, strengthening our families holistically makes us all stronger. For more plan details, please visit the Registration page on our website www.primaryfocuslc.com.
          $49.00
            
          Parent Connection Standard Membership (Monthly) Product Image
          Parent Connection Standard Membership (Monthly)Parent Connection offers support in the following ways, including but not limited to: workshops in academics and knowing your rights as a parent; Financial literacy; Nutrition education; and Special Education support services. For more plan details, please visit the Registration page on our website www.primaryfocuslc.com.
          $74.00
            
          Parent Connection Premium Membership (Monthly) Product Image
          Parent Connection Premium Membership (Monthly)Parent Connection offers support in the following ways, including but not limited to: workshops in academics and knowing your rights as a parent; Financial literacy; Nutrition education; and Special Education support services and liaison. We provide a full-service Special Education department at your fingertips accompanied by a plethora of SPED providers to meet all of your needs. For more plan details, please visit the Registration page on our website www.primaryfocuslc.com.
          $99.00
            
          Yearly Parent Connection Membership Fees
          Parent Connection Basic Membership (Yearly) Product Image
          Parent Connection Basic Membership (Yearly)For more plan details, please visit the Registration page on our website www.primaryfocuslc.com.
          $480.00
            
          Parent Connection Standard Membership (Yearly) Product Image
          Parent Connection Standard Membership (Yearly)For more plan details, please visit the Registration page on our website www.primaryfocuslc.com.
          $720.00
            
          Parent Connection Premium Membership (Yearly) Product Image
          Parent Connection Premium Membership (Yearly) For more plan details, please visit the Registration page on our website www.primaryfocuslc.com.
          $960.00
            
          Total
          $0.00
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