User form for ipad

Hi,
I’d like to use the ipad at trade shows as an “enter here to win X.” where the user, for a chance to win, would enter their name, email, etc into the given fields on the ipad. As a result I’d have a spreadsheet, data base, or some other list of who registered.
Anyone know of a good app or simple way to do this. (In the perfect world I’d be able to put my own logo on top and choose my own fields for the user to populate.)
Thanks!
JJ

You're going to expect people to input on the virtual keyboard? Leave an iPad and, maybe, BT keyboard lying about? Have them puzzle out editing of their inputs? Get the yuckies from touching something that everyone else has been touching all day long? Have them worried that they might somehow break it? Have them worried about where what they type in is actually going?
Sorry, I think this is unwise and unnecessary for all audiences but maybe the most tech-savvy, and not that likely to imperess most of even them. I'd recommend something more along the lines of the iPad providing a nice supporting video presentation of some sort and have a more traditional signup, I.e., preprinted forms & pens on strings.

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