This Child Trends study analyzes family and community data for children ages 6 to 17 from the 2003 National Survey of Children’s Health and finds that nearly half of children in high-risk families are not involved in any out of school time activity regardless of neighborhood risk level. While children from all levels of neighborhood risk that do not have high risk families participate in out of school activities at much higher rates. These findings suggest that active recruitment of children in high-risk families may be necessary if these children are to become involved in out-of-school activities.