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Adoption Application

Thank you for your interest in adopting a furry friend from SCMR. We are committed to finding loving and permanent homes for our dogs. Please fill out the adoption application below, and we will get back to you as soon as possible.

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Adoption Application

SCMR policy is that we do not adopt to households with children 10 or under and SCMR does not adopt to homes with electric fences.

It is important to be sure the entire application is filled out correctly and completely. If any questions are not completed, the application with not be processed.

Having read this notice, I acknowledge I understand these policies.

Are you interested in a particular dog?
Gender preference
Desired age
Will you accept a Mix?
Do you own or rent?
If you Rent, Do you have the permission of your landlord to have a dog?
SCMR will adopt a rescue that is out of state to the applicant, but does not ship or transport them, we ask the approved adopters to make those arrangements. If the rescue being asked about is out of state, are you willing to make the drive to pick them up, no matter how far they are?
Would you consider a Special-Needs Rescue Animal such as one who requires medication for a permanent but controlled condition?
Do you have any children, currently expecting a child or planning for a child? (Please note: SCMR policy is that we do not adopt to households with children 10 or under.)

Please provide the information below as to who lives in the home, giving names, ages and relationship:

Who is the dog primarily for?
Does anyone in your household have allergies to dogs?
Do you currently have other animals?
Have they ever been around other animals?
Do they get along with other animals?
Do your pets have any characteristics that we should be aware of that would affect an animal coming into the home (i.e., is your pet aggressive toward other animals, etc.)?
Will someone be home during the day?
Is your yard fenced in? (SCMR does not adopt to homes with Electric Fences)

Southern Comfort Maltese Rescue policy regarding adopting to homes that have a swimming pool: SCMR will make exceptions for homes that have swimming pools provided the applicant can assure the rescue will be safe from any danger of getting into the pool. Please provide the following information:

Do you have a swimming pool? (If No, please go to next section)
Is there a fence, secured around the entire pool (not just the yard) that would prevent pets from getting too close and falling in?

If no, please provide the information if willing to provide an alert system (for example: a K9 Safety Turtle device) that would signal an alarm in case a pet fell in the pool:

Are you willing to obtain a crate and crate-train your dog if necessary?
Do you have a current or previous vet?
If you do adopt a rescue dog and decide to give it up, do you agree to contact us and make arrangements to get the dog back to SCMR?

I/We attest that the Terms and Conditions of Adoption as stated below have been read in full by me/us and I/we understand that is part of the adoption process and will be enforced.


I/We attest that the information provided on this application is true and accurate to the best of my/our knowledge.

I/We attest that we have retained a copy of the Terms and Conditions of Adoption and also understand that completion and submission of this application does not guarantee adoption of a Rescue Animal.

I/We understand that any misrepresentation of fact may result in the removal of the adopted dog from my/our home.

I/We understand that if this application was submitted via email, formal signature(s) will be obtained when and if adoption takes place.

This Agreement may be executed in one or more counterparts, each of which will be deemed to be an original copy of this Agreement and all of which, when taken together, will be deemed to constitute one and the same Agreement. The exchange of copies of this Agreement and of signature pages by facsimile or other electronic transmission shall constitute effective execution and delivery of this Agreement and may be used in lieu of the original Agreement for all purposes. Signatures of the parties transmitted by facsimile or other electronic transmission shall be deemed to be their original signatures for all purposes.

Thank you! Your form has been submitted.

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