I will have a link "click here to register your details."
This would open a form that the person fills in, (doesn't need to have username and password) will have fields like "name" "email" dropdown menu "state," maybe up to 20 fields. Preferably with a number image that the person types before submitting to prevent bot abuse.
When the person hits submit it would place their details into a database.
I would need a separate admin area (would put it in a password protected folder) where I could query the database so that I can get infomation into a table so that I can view different fields together. Like all "doctors" who live in the state of "NSW" for example.
Doesn't need any confirmation emails, but if this is easy to include it would be good. Also if it is easy to include in the admin area a way to add fields to the form/database or change/delete fields this would be good. But again this is not vital.