BACKGROUNDC hildhood obesity in the United States has increased from 5% in 1980 to over 18% in 2016. 1,2 Obesity is multifactorial, with social norms, the built environment, and policies playing a large role. 3 Thus, the public health, medical, and education communities have called for greater alignment of efforts to prevent childhood obesity. [4][5][6] Multi-component school-based wellness initiatives have been associated with healthier student body mass index (BMI), and are a public health focus to address the obesity epidemic in children for several reasons. [7][8][9] Reach is widespread because most children are enrolled in school and therefore benefit from programing. Also, children spend enough time at school to accommodate half of their daily required physical activity and caloric intake. 6,10 Effective school-based wellness initiatives capitalize on these opportunities while involving stakeholders from the community. 4,6,11