Yoga & Personal Training Liability Waiver

Dr. Tara Salay, DPT

I hereby agree to the following:

  1. I am participating in virtual private sessions with Dr. Tara Salay during which I will receive information and instruction about yoga, exercise, and health. I recognize that yoga and exercise requires physical exertion, which may be strenuous and can possibly cause injury. I am fully aware of the known risks and hazards to my health that are involved.
  2. I understand that it is my responsibility to consult with a physician prior to and regarding any participation in these sessions. I represent and warrant that I have stipulated any current health condition that would prevent my participation in physical activities.
  3. In consideration of being permitted to participate in these sessions, I agree to assume full responsibility for any risks, injuries or damages, known and unknown, which I might incur as a result of participating in these sessions.
  4. In further consideration of being permitted to participate in the training sessions, I knowingly, voluntarily, and expressly waive any claim that I may have against the instructor, the owner, or the physical establishment for injuries or damages that I may sustain as a result of participating in the sessions.
  5. That if I participate in other classes or events that I will assume full responsibility for any injuries that may result from my participation, with the same considerations that this waiver stipulates above (items 1–4).

I have read the above release and waiver of liability and fully understand the contents. I voluntarily agree to the terms and conditions stated above.

Privacy & Electronic Submission Notice By submitting this form electronically, you consent to the transmission of your personal information via encrypted web connection. Your information will be stored securely and used solely for the purposes of your participation in sessions with Dr. Tara Salay.


Health Questionnaire for New Students

Dr. Tara Salay, DPT

All information is strictly confidential and will not be shared in any capacity.
Protected Health Information (PHI) & Privacy Notice This form collects health-related information to ensure your safety during sessions. Your data is transmitted via encrypted connection (HTTPS) and stored with AES-256 encryption. By submitting this form, you consent to the electronic collection and storage of this information solely for the purpose of your care with Dr. Tara Salay. Your information will never be shared with third parties without your explicit written consent.

Basic Information


Previous Experience


Health History


I take full responsibility for my health during this course, including any injuries. I will inform the instructors of any medical changes that would alter my performance during the completion of these courses/sessions.