BREEZ BRUMBIES ADOPTION FORM
Please fill in all details below and you will be contacted by someone as soon as possible.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please state your experience level with horses
*
Name of Brumby(s) you are interested in.
Do you want your brumby handled or unhandled
*
Handled
Unhandled (only experienced ppl with horse yards can take unhandled brumbies)
If taking an unhandled please describe types of fencing/facilities you have to hold a wild brumby (type n/a if it doesnt apply to you)
*
Number of Brumbies you want to take (type your answer)
*
Type of Brumby
*
Mare (over 3yrs)
Filly (under 3yrs)
Colt (under 4yrs)
Stallion (over 4 years)
Preferred Color
Bay
Roan (blue or red)
Buckskin
Chestnut/Flaxen
Black
Grey
How soon are you ready to take a brumby
Now
Within 2 Month
Submit
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