America is in the midst of an obesity epidemic. Obesity rates among adults have increased by more than 60% in the last 10 years to where approximately 25% of American adults are obese today. According to Dr. Duane Alexander, Director of the National Institute of Child Health and Human Development (NIH, 2003), the number of obese children is increasing while their level of physical fitness is decreasing, raising the concern these two factors may be setting the stage for later health risks as they progress into adulthood. As schools begin to deal with these issues, physical education classes, after-school programs, and the incorporation of physical activity in the classroom are areas often explored to increase physical activity. Another area may be the time before the first bell. Before schools officially open, most have policies that require students to go to a designated space (gym, library, auditorium, etc.). Instead of this being idle time, it could be utilized to get students moving and active. This article describes how a before-school activity program (BSAP) was designed and implemented for middle and high school students attending a K-12 school, and how it can translate into other schools. (Contains 1 table and 2 boxes.)