Registration form

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

PrivateSchoolAssociationCompanyOther
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
Contact person for the reservation
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 on site = contact person for the reservation

YesNo
Name*

First nameLast name
Phone number*

Country codePhone number
Participants
Number*
Number*
Age
Attractions
Which attractions would you like to visit?

The Barefoot pathThe insect museum 'Entomopolis' (including the Butterfly Garden*)
* The Butterfly Garden is open from 1 May to 30 September.
Guide
Would you like a guided activity in English?*

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.
Bistro Lieteberg and terrace
Would you like to use the Bistro Lieteberg and / or terrace?*

YesNo
* We ask that all drinks be purchased at the bistro at a picnic.

* Here, for your information, you will find the consumption list for schools and youth groups.

* For your information, here is the consumption list for other groups (not schools and youth groups).

* Last drink in Bistro Lieteberg can be ordered half an hour before closing time. For current opening hours, check www.lieteberg.be
When will we prepare your order for you?
Auditorium
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
Meeting room
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.*
Should be Empty:

Applicant data

Contact person for the reservation

Contact person on site

Participants

Attractions

* The Butterfly Garden is open from 1 May to 30 September.

Guide

Bistro Lieteberg and terrace

Auditorium

Meeting room