Login page for a website, pretty design of a registration form and storing info in a dB

Create a pretty but simple sign-in page using twitter bootstrap, joomla, php, whatever can do the work fast since this is probably the adaptation of some templates that exist out there. The sign in page should allow users to register via e-mail, Facebook, or twitter, and store data in a dB. Registration using e-mail should require a “I'm am not a robot” captcha, [login to view URL] Once the user is registered, he must complete a form with these fields (some of them can be pre-populated if the login was done via twitter id or facebook verification, but this is optional). This page should have a pretty, clean, responsive design. Name: Last Name: Birthday: Twitter: Facebook: Linkedin profile: SoundCloud: (We need to have some form of Twitter, Facebook, and SoundCloud verification with the user permission, that allows us to know the number of FB friends, number of Twitter and SoundCloud followers for the user, which will be stored in the dB) What music streaming services do you use? Never at least once a week more than once a week Pandora Spotify Apple Other (specify): Do you have background in music composition? Yes No If yes, please specify: Do you have background in music production? Yes No If yes, please specify: Do you have background in programming? Yes No If yes, select all that apply: beginner intermediate advanced Python Java C/C++ HTML Other (Specify): Do you use DAW? Yes No If yes select from: beginner intermediate advanced LogicProX Ableton Live Other [please specify] Comments: Any other thing you would like to tell us about yourself? -------- A submit button. After the submit button is entered, this brings them to a page that says “Welcome” and shows his/her Facebook or Twitter picture. I'll provide assistance with user registration table design, backend calls for authorisation etc., if needed.