Background: The health of children is undeniably important. Especially with the soaring epidemic of childhood overweight and obesity, physical health is a large concern. Emotional health is also an area of great significance, because it is essential to overall health. Children's health promotion interventions have been developed and implemented; however, the majority either focus on one health aspect and/or the effects of one health aspect on another or research has been limited to very few variables. Purpose: The Sanford Health Children's Health & Fitness ("fit") initiative was developed with the purpose of engaging children, families, and communities with accessible resources and programs to instill sustainable healthy lifestyle behaviors. Theoretically rooted, its design includes the utilization of key role models and care providers in various settings, including the home, school, childcare, health care, and community. Translation to Health Education Practice: Though a suite of "fit" initiative programs and resources have been introduced for multiple settings, there is currently an emphasis on development and implementation of curricular programming in the school setting. "fit4Schools" is designed to provide additional, practical resources that can be implemented as a component of existing curricula and programming.