This study assessed the effectiveness of the “On the Move to Better Health” program, specifically whether it promoted 4th to 6th grade North Dakota students, as well as their families, to make healthier lifestyle choices. “On the Move,” NDSU Extension Service’s five-lesson nutrition and physical activity-based public health intervention program, was taught in 211 elementary school classrooms throughout North Dakota. Both students and parents were given presurveys at the beginning of the program and postsurveys at the end. Students increased their fruit intake, vegetable intake, and amount of time spent being physically active over the course of the 5-week program. They also decreased their sugary beverage consumption and time spent being sedentary. This study also examined parental involvement in the “On the Move” program. Most parents found the “On the Move” family newsletters helpful and informative. Additionally, parents reported their children increased consumption of fruits and vegetables after the program.