Osteoporosis is a serious public health problem and crippling condition that can cause premature mortality and significant morbidity from fractures, bone deformity and pain. It affects more than 25 million people in the United States. National health objectives indicate an urgent need to reduce deaths due to falls, reduce the incidence of hip fractures, and increase the number of people educated about osteoporosis. Osteoporosis has been described as a pediatric disease with geriatric consequences because inadequate bone attainment during the peak bone-building years can result in osteoporosis later in life. Strategies for preventing osteoporosis include maximizing peak bone mass through health education and health promotion programs. Harmful practices including excessive consumption of sodas rather than milk threaten the attainment of healthy peak bone mass among youth. The purpose of this study was to design, implement and evaluate a bone health education program for underserved youth. The program provided nutrition, calcium and osteoporosis prevention education for 215 underserved youth participating in a National Youth Sport Program in a southern state. Participants were randomly divided into experimental and control groups by cluster sampling. Experimental and control groups were demographically similar and ages ranged from 9 to 16 with a mean age of 11.6 years. Design of the program was based on the health belief model and included short lectures, discussions, hands-on activities, and dissemination of educational and entertaining incentives. Pre/post paired t-test data analyses utilizing SPSS revealed significant positive changes (p<0.05) in osteoporosis knowledge, calcium knowledge, protective attitudes, and dairy product intake in the experimental group with no changes observed in the control group. A bone health education program may be effective at promoting knowledge, attitudes and positive health behaviors designed to prevent osteoporosis and reduce risk of other chronic diseases.