Graphical Registration Form - HTML5

I’m looking to create a registration form using HTML5 and JQUERY. The data will be stored in a MySQL database with Wordpress as the CMS. Here are some additional details: -The entire form will exist in a modal window. -Will be arranged horizontally -It will involve some horizontal scrolling to get from the first “page” to the last. -It will involve a jquery autocomplete plugin. -It will involve a jquery slider. -The form should provide on the fly validation. -Will include some mandatory fields -Will include one graphical element. -Will include re-captcha I will also need a rudimentary login script to validate that the registration process works and accesses the database correctly. Thanks.