I can provide you with links to several enrolment forms on the web.
When a user completes one of those forms and submits it, I also want the information from three of the fields (Name, Email, Location) collected in a very basic database.
Hi, I can make you a form for your website that will collect the fields to a database when the user submits, and I can also have it e-mail you if you would like. I would use PHP/MySQL so your server would need to support this. Please contact via PMB if you have any questions, I am available to work on this tonight. Thank you for your consideration.