data base for visitor sign in

I want to build a data base for a visitor self sign in. The computer system will be in the front lobby where the visitor will do a self log in. Once the information is complete a label will be printed The data needs to be saved in the data base. The information that will be recorded: Date (automatic) Time in Last Name First name email Company Address Is Company a Foreign company? US citizen - yes or no if no Citizen of what country ot Permanent resident # Visitor contact Purpose of Visit Type of ID Verified by who The customer interface needs to be "fancy" or look very nice and user friendly.