Gather emergency contact at time of purchase

Hello,

How can I gather information from customers at the time of purchase? I found this thread, but don’t know how to add code to my shop. I also don’t want to change the form for all check outs - just one product. Any help you can provide would be great. Thank you!
https://community.shopify.com/post/888843

We sell tickets to summer camp for kids and need to gather the following information at time of purchase:

  • Emergency contact 1: name
  • Emergency contact 1: phone number
  • Emergency contact 1: alternate phone number
  • Emergency contact 2: name
  • Emergency contact 2: phone number
  • Emergency contact 2: alternate phone number
  • names and ages of children being registered
  • Allergies yes/no; details if yes
  • field for parents to enter additional information about children
  • photo permission for marketing and funding purposes: yes/no

Thanks!

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