Don’t forget to indicate which location you prefer. for a complete list of locations and facilities, click here.

  • ​lombard, il
  • west town - chicago, il
  • ​Woodridge/naperville, IL

Preferred Location:
Parent Name:

Reasons for Enrollment:
Goals You Would Like To See Achieved:
Physician Name:
Physician Practice, Group or Hospital:
How did you hear about ProActive Kids?:


upcoming sessions: june 12- august 4

simply Complete the form to the right to register your child.  If you are REGISTERING multiple participants, please use a different form for each child. you will receive an email within 10 minutes of REGISTERING to confirm we received your registration.  If you have any questions about the program, please visit our FAQ page.

once you are registered, you are automatically ready for the program. you do not need a further note of acceptance. proactive kids does have the right to remove you from the program if you do not fit age or weight criteria.

NOTE: El programa aun no se ofrece en español.

Requirements for registratation​
1. Your child must be struggling with unhealthy weight. This is classified by being in the 85th percentile and above in their BMI. Not sure if your child qualifies, visit this website for a general calculation of BMI  and BMI percentile chart using your child's measurements. If you need help, just give us a call!

2. Children must be between the ages of 8 and 14.

The program is offered FREE by the hospitals who generously offer the program in their communities. (PAK does not require any proof of insurance or medical coverage).

If you have any questions or problems with registration, please call 630-681-1558 or email info@proactivekids.org.

Please ensure you enter the correct email address. That is how we get in touch with you.