Registration form

* We ask groups to request their visit at least 2 weeks in advance, regardless of whether they want a guided visit or not.

Group:*

Name:*

Address:*

Street address

House number (and box)

MunicipalityState / Province

Postal / Zip codeCountry

Address:*

Street address

House number (and box)

MunicipalityState / Province

Postal / Zip codeCountry

Name:*

First nameLast name

Phone number:*

Country codePhone number

Email:*

example@example.com

Request an invoice?*

YesNo

Invoice Reference?

Is the invoice address the same as the address above?

YesNo

Name:

Invoice adress:

Street address

House number (and box)

MunicipalityState / Province

Postal / Zip codeCountry

Date of the activity*

Datum activiteit*

Arrival time*

Contact person on site = contact person for the reservation

YesNo

Name*

First nameLast name

Phone number*

Country codePhone number

Number*

Age

Which attractions would you like to visit?

The Barefoot pathThe insect museum 'Entomopolis' (including the Butterfly garden)

Would you like a guided activity?*

YesNo

Select*

* Please reserve the guide at least two weeks in advance.

* Maximum 25 people per guide.

* Report to visitor reception ten minutes beforehand so that the guided activity can start on time.

Would you like to use the cafeteria and / or terrace?*

YesNo

* We ask that all drinks be purchased in the cafeteria at a picnic.

* The consumption list 2024

* Last drink cafeteria can be ordered half an hour before closing time. For current opening hours, check www.lieteberg.be

Small refreshments are only available to order.

	Number
Chocolate bun
Croissant
Donut
A piece of pie
Fresh daily soup
Baguette Smos: cheese and ham
Baguette ham
Baguette cheese
Baguette chicken Hawaii
Baguette chicken curry
Baguette crab
Baguette salmon
Baguette egg with chives

* The minimum order quantity of baguettes is ten.
* Please order soup and baguettes a week in advance.
* No orders of baguettes on Wednesday and Sunday.
* All baguettes are provided with vegetables.

When will we prepare your order for you?

Would you like to use the auditorium?*

YesNo

For which part of the day would you like to request the auditorium?*

09:00 - 12:0013:00 - 16:00

Would you like to use the meeting room?*

YesNo

For which part of the day would you like to request the meeting room?*

09:00 - 12:0013:00 - 16:00

Do you have any questions?

Bezoekersreglement*

Ik aanvaard het bezoekersreglement.

Privacyverklaring*

Ik verklaar de privacyverklaring te hebben gelezen.

Retype the message as it appears.*

Applicant data

Contact person for the reservation

Contact person on site

Participants

Attractions

Guide

Cafetaria and terrace

Auditorium

Meeting room