Ground floor, WDA Building, 19 Martinez Street, Brgy. San Roque,
Antipolo City, Antipolo, Philippines

Phone

0906 205 1642

Email

vividhearingandspeech@gmail.com

RESERVE YOUR SLOT NOW

Fill the Form

Complete the registration form with the required information to begin the enrollment process.

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Welcome! This form is for clients who wish to be placed on our waitlist for the following services:

  • Speech therapy
  • Occupational therapy
  • SPED/SNED Tutorials
  • General academic support

Please complete the form as accurately as possible to help us match your child with the right therapist and schedule. Once a slot becomes available, our team will get in touch with you through your provided contact details.

Note: Filling out this form does not guarantee immediate placement. We will do our best to accommodate you as soon as possible.

For questions and concerns, you may send us a message at facebook.com/VividlyClear


Please click the Terms & Conditions, and Privacy Policy link and read to proceed

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Enter child's last name (up to 20 characters)
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Child must be at least 3 years old
Enter medical diagnosis provided by a developmental pediatrician
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Enter a valid Philippine mobile number starting with +63 (12 digits)
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Please Review Your Details Before Submission

Child's Information

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Need help? Contact Us

Vivid Center for Learning & Development

Developing potential, one child at a time

Contact Info

(02) 8354 8809 / (0961) 408 6685

vividhearingandspeech@gmail.com

Ground floor, WDA Building, 19
Martinez Street, Bry San Roque,
Antipolo City 1870 Antipolo,
Philippines

Follow Us

facebook.com/vividcenterforlearning