Registration starter job - repost

I am seeking a highly qualified php/mysql developer to do the very basic first functionality of my website. This is a trial NO UPFRONT PAYMENT, it is approx 3-4 hours work, if you impress us we will give you further work with a look to having full time employment. The first step is registration, we will copy the registration from the following reference site... PLEASE BE WARNED ADULT CONTENT [login to view URL] We only require the first search option at the top .... This will have the following Field a: 'I Am A''.. Here are Drop down options.. Man Seeking a women Women Seeking a man Fields B- We must have exact matches of ALL Country,State,City (THESE WILL ALL BE STORED IN OUR DATABASE, do not connect to there site.) Field C- Age Range - Age To Field D Who Are ''Online Now With Photos'' FIELD E'' SEARCH BUTTON, When user hit's Search It shows blue small box (see reference site) This will contain there already selected option Man seeking women, women seeking man... Next option is DATE OF BIRTH, And they must ''tick'' i agree to terms and conditions, they then are allowed to hit ''Let me In'' This is main first part of registration i am giving the opportunity to the best freelancer fi you do this fast efficient with excellent communications we will higher you for further works, looking to higher a programmer for 10 hrs per day. This task should not take any longer than 6 hours at maximum and all data must be stored on our hosting database. We do not like ''automated responses, stating you have read our proposal, you must say in the first line of your response '' This not an auto response, we can start immediate, and will work on your live site as a trial starter project Regards