Registration Form

Dear freelancers, I am looking for someone, who can help me out and create a simple sheet for registration. I am not really sure, what skills are needed for that. Please check the following link to understand closer, what I am looking for. [login to view URL] When you click on "register" you come to a new page, where you can choose in a dropdown form a number, then write your name in the free column and then click on "odoslat", which means confirm (please do not click on that, since it is an ongoing registration form). I need something similar, maybe nicer layout. This sheet needs to be adjustable, so I can put any amount of numbers and any name above it. After someone registers himself, it should appear in the front page with his number and name and this certain number should not be available for further registrations. I will be giving the link to people through facebook, so they should be able to do it via phone as well. Thanks in advance! :) Zuzana