Need help in inputting to phpmyadmin

Hi I have been trying to get my query to connect to my database. I first had a query to add table to the database and it would show an error then I went over my database info and resent and it updated to the table however when I did a form with the rest of the information to insert into the table it shows the table in the browser and the last part of the php query which is error. So I know it will not insert into the database table any ideas as to what I need to do to correct this problem.

The same, infinitely

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