Nimble: Contact Page Page Template

If that’s part of your theme, you should ask the developers of the theme for help with it – as commercial themes aren’t supported on these forums.

If it’s not part of your theme, which plugin is it? You’ll need to ask on the plugin’s dedicated sub-forum.

There’s lots of form plugins – Contact Form 7 is widely used. Or maybe look at –

http://wordpress.org/plugins/extra-user-fields/

http://wordpress.org/plugins/participants-database/