As according to your requirement you need a fully protected registration form with advance restrictions and validation.
I am working as a web developer for more the 2 years and I have build such registration forms with advance features.
I have fully command on wordpress, PHPm HTML5, CSS3, JQuery, JavaScript, JSON.
I have build many complete responsive websites for all size screen (laptop, tablets, and mobiles).
I think I am fit for this job and your requirements.
Thanks!
Feel free Contact at Skype: atta_ullah786
Regards: M. Atta Ullah