<?
$host="localhost";
$database="bwclients";
$username="paul";
$password="password";

$name=$_POST['Name'];
$bday=$_POST['Bday'];
$phone=$_POST['Phone'];
$address=$_POST['Address'];
$email=$_POST['Email'];
$gender=$_POST['Gender'];
$kids=$_POST['Children'];

mysql_connect($host,$username,$password);
@mysql_select_db($database) or die( "Unable to select database");

$query = "INSERT INTO clients VALUES ('','$name','$bday','$phone','address','email','gender','kids')";
mysql_query($query);

mysql_close();
?>