Yes, you can do that with BreezingForms.
See this package:
The "Pay to Register" sample contains a ready-to-run predefined form together with registration.
If you don't need the PayPal button, just replace it with a normal Submit-Button and add additonal fields if you need them.
Then just disable Joomla's registration and connect your new form through menu, article (via plugin) or module.
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