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Liability Waiver/Informed Consent Form 2026
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- Click ‘Get Form’ to open the Liability Waiver/Informed Consent Form in the editor.
- Begin by filling in your personal information, including your name, phone number, and email address. If you are a City of Topeka employee or retiree, check the appropriate box and provide your Employee ID and department.
- Indicate if you are a dependent of a City of Topeka employee by circling the relevant option. If applicable, list the employee's name and ID for verification.
- Complete the emergency contact section by providing the name and phone number of someone who can be reached in case of an emergency.
- Read through the voluntary participation, risk acknowledgment, and waiver sections carefully. Initial each statement to confirm your understanding and agreement.
- If you wish to receive updates from the City of Topeka Wellness Coordinator, select 'YES' or 'NO'.
- Finally, sign and date the form at the bottom. If you are signing on behalf of a dependent under age 18, ensure that a parent or legal guardian signs as well.
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