Create a Php Form with Javascript Validation

Looking for a reusable form code, working like a contact form with javascript validation and php mailing. Form Item 1 User Name 2 Date Picker 3 Email Id 4 Date of Birth 4 Password 5 Select box Select your Activity Cricket Football Boxing Tennis 6 Radio Button Gender : Male Female 7 Single Option Check box Select Your Favourite Fruit: Apple Orange 8 Multi Option Check box Select Your Favourite Film: Tenminator Xman Fast and Fu 9 Send a Message textarea 10 Captcha Code Send Button also here Need tosend the filled details to a email id with a good structure. also need to send the confirmation mail to the user like "Thanks for sending this mail to us" (Give me an option to customize the notification template)