Form with checkbox, input fields, MySQL connection

OK.

I’m not sure where to start searching (so PLEASE don’t hate me if this question has been asked before :bu:)

Anyway… What I need to do is this.

I need to make a form that has checkboxes and input fields. When the “submit” button is pressed I need for all the information (the selected checkboxes + input fields (with verification that they were filled in)) to go into a database + send out a email to the given email address (this will be done in one of the input fields).

Also. I plan on making an admin tool for my website, so the info shown on this form is supposed to be dynamicly loaded from the same DB it will be sending to.

I’ve done some of this before (not the checkbox part) so if anyone feels like helping me out I would REALY appriciate it =)

Thanks for any help :cowbell:

EDIT
My webserver has MySQL and PHP (I don’t know which versions though).