Electronic waivers of liability software

Would like a electronic waiver of liability software created. This can be either a standalone software or a HTML or browser form. It needs to function with the capability of allowing the user to input requested information, the program should also be able to use the camera on the computer to take a picture. All the information captured should then be stored in a database and also a version should be automatically sent to the printer when the user selects to print. Please read the project first and write the word "Understood". Also write your steps and suggestions to complete the project with a short description of what you understood.