Liability Waiver/Informed Consent Form 2026

1. Click ‘Get Form’ to open the Liability Waiver/Informed Consent Form in the editor.
2. 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.
3. 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.
4. Complete the emergency contact section by providing the name and phone number of someone who can be reached in case of an emergency.
5. Read through the voluntary participation, risk acknowledgment, and waiver sections carefully. Initial each statement to confirm your understanding and agreement.
6. If you wish to receive updates from the City of Topeka Wellness Coordinator, select 'YES' or 'NO'.
7. 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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