Healthy School Recognized Campus is an initiative from Texas A&M AgriLife Extension in which schools complete a school-wide walking challenge, one youth program, and one adult program within one school year. Youth and adult programs range in topics (e.g., physical activity, gardening, mental health) and duration (e.g., 12-week 30-minute lessons, single day all-day showcases). The HSRC Study aims to evaluate the effectiveness of HSRC on cardiovascular risk factors in youth and the impact of a school-to-school mentoring strategy on program implementation.