Sqlite insert row code

I will provide a blank Sqlite database, i need a form with 3 textboxes, your code will insert a new row and update the columns with the entries that are in the textboxes. textbox1 will go into the column: clientname textbox2 will go into the column: incidentyear textbox3 will go into the column: incidentdate note: the columns are all TEXT format. incidentyear and incidentdate are TEXT format, NOT date format. the password for the blank database is: charlyX399$