H2O Retreat

Registration FormInformationFAQ

2021 Registration begins July 4


Strict paid registration deadline of August 22 for all campers



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Location: Camp Kehukee

Days: September 2-4, 2021 (Thursday – Saturday)

Time: Arrive at church by 12:00 pm Thursday, September 2; pickup kids at Camp Kehukee at 5:30 pm on Saturday with family cookout and awards presentation


  • $60 per child
  • Paid registration deadline by August 22 for all campers; absolutely no exceptions


  1. What is included in the cost? 3 days/2 nights of lodging, meals, retreat t-shirt, and activities.
  2. May my child bring a friend? Yes! Your child may bring as many friends as they want but they must also register by the deadline.
  3. How do I register? Go to mpbclife.com/H2O(scroll to the bottom of the page and look for the H2O Retreat Registration Form)
  4. How do I pay? You can pay on the website, kiosk, app, cash, or check.
  5. Will there be a packing list? Yes, we will provide a list when the date gets closer.
  6. What will my child be doing during this retreat? Your child will have at least 1 chapel session a day, go swimming (weather depending), play plenty of games, activities on the lake, group competitions, small group discussions, personal quiet time with the Lord, and much more!
  7. When is the deadline to register? August 22 Absolutely no exceptions. No registrations will be accepted after August 22
  8. May my child request a roommate? If your child is bringing a friend with them, they may request to share a room with them. You will find this request on your registration form. There are 4 kids to a room.
  9. May my child bring their cell phone? We do not recommend your child brings their phone, but if they do, it will be collected at camp. If your child needs to contact you, they can see their counselor to get their phone back for a few minutes or use their counselors’ phone. You will receive a list of our counselor’s phone numbers when you drop off your child.


Still have questions? Contact Pastor Garrett at garrett.oppel@mpbclife.com or call/text him at 804-898-8795.

2021 Registration Form

Form opens July 4, 2021  • Firm deadline August 22

2021 H2O Kehukee Retreat Registration & Medical Release
Please see Retreat Info & FAQ for more information. Strict registration deadline (with payment) is August 22, 2021.

Family Information

This will be used to send a copy of this registration form, and other important trip updates

Trip Information

Total cost $60
If paying by credit card, use your MPBC App or pay on our website (this link will be in your confirmation email)
If paying by cash/check, put in envelope in Black Box by church office door.
While a parent would be called first in any emergency, we need a non-parent that will be available during the weekend of the retreat as an alternate emergency contact.
Do you have a 2021 Medical/Travel release on file? *

Medical Release Information

If you choose one, a text box for more information will appear.

Medical & Travel Release

The paper Registration and Medical Release form will be created with the information on this digital form. It will need to be signed by a parent or guardian at retreat check in.

The following release will be included:
"My permission is granted for any Mount Pleasant Baptist Church staff member or sponsor in charge of the H2O Retreat to obtain medical attention in case of sickness or injury for (child's name).

"I/We, the undersigned, do hereby release, remise and forever discharge all sponsors and Mount Pleasant Baptist Church, Colonial Heights, Virginia, from any and all claims, demands, actions, or cause of action, past, present, or future arising out of any damage or injury while participating in this event. I also agree to pick up my student or reimburse MPBC for the cost of sending my student home in the event that he/she commits any infraction of the rules, puts their fellow participants in danger, or exhibits a disruptive attitude."

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