Develop a report template with drop-down menus

I need to have a Word or Excel document created that includes free form boxes for Name, Address, Age, Sex, etc. as a cover page. This would be a freeform area that is completed by the end user. There may be some areas with short drop down areas also in this section. In addition, I need boxes created to input picture files (.jpg. or bmp.) and then underneath each of the pictures at least two boxes with drop down menus. The layout has to be so you can have two pictures across, with the drop-down menus underneath, and at least two boxes under each of the pictures. I'd like to have a total of four (4) pictures per page. Once the first page is completed, it can be duplicated for the additional pages, for a total of three pages. The last page will have areas with drop down menus again, probably somewhere in the area of ten (1) total. The fields for the drop-down menus need to be set up so an end-user can add in the information in some cases, rather than having static items. NOTE; THIS CAN NOT BE DONE IN A DATABASE; AS THE COMPUTER WILL NOT BE CONNECTED TO THE INTERNET AND I WANT ONLY TO INCLUDE MICROSOFT WORD ON THE COMPUTER, RATHER THAN THE WHOLE OFFICE SUITE.