Forms :: Design Form That Looks Very Similar To Either Split Form Or Subform

Basically I need to design form that looks very similar to either Split Form or Subform. I have attached a print screen of what I roughly need. The form is split into two parts. In the first/top part there are some List Box/Date fields that act as filters to the bottom form, so the bottom form displays only records that match values in red. The second part of the top form has some field that require input from user and then these records are added to the bottom form. I was trying to use both Split Form and Subform and none of it is working,I have attached an example of database and this form would be based on data from Query1.