When you are active with your child, everyone benefits! When you are ready, fill out this plan to commit to being more active with your child. You can print this plan out to fill it in. Or, you can write down your own plan on a piece of paper.

Date: ________________________

I, ___________________, (your name) commit to being active with my family ____ (number) days a week for at least ____ (number) minutes each of those days.

I am committing to this because:

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Indoor activities I can do with my family:

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Outdoor activities I can do with my family:

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I can be a healthy role model for my children by...

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SAVE And Print

Download a printable version of this action plan.