Simple form needed to place reservations on website

This project received 24 bids from talented freelancers with an average bid price of $190 USD.

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Project Budget
$30 - $250 USD
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Project Description

i need a form that will do the following:
1- select date
2. select time
3. number of people in group - then create number 3 based on number 2
3. enter persons name (age ,weight and riding ability are drop down menus)
4. enter credit card info to create reservation - needs to be secure ( ill buy an ssl cert for website)
5. create a conformation number and email the person and admin
6.i need to create a limit of how many people per time every day( example if i have 5 time slots then i can only have 10 people per time slot. and when its full i need it to say call and list phone number. and if they select current day the i need to say call the phone.
7. Each person is $[url removed, login to view] so it needs to total for the reservation when submitted
8. print reports of reservation
9. view reservations and print credit card to process
10. save data to mysql database so i need a simple backend to view reservations and credit card info.

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