This document provides an overview of the Let's Move! Cities, Towns & Counties (LMCTC) initiative. The initiative was launched in 2010 by the First Lady to address childhood obesity at the local level. It engages local elected officials and encourages cities and counties to commit to 5 goals focused on nutrition, physical activity, and healthy living. Cities that complete surveys reporting their progress can earn bronze, silver, or gold medals in recognition of their efforts. Signing up is free and provides benefits like technical assistance and national recognition for participating communities.