Inclusion Criteria:  Patients at the CHS Knox County Pediatric Clinic Child age between 4 to 10 years old Child BMI > 85 percentile Child must have an adult caregiver (> 18 years) living in the household and be willing to participate in the program Adult caregivers need to be able to read and speak English Adult caregivers must be willing to shop for fresh fruits and vegetables at the Western Ave Food City Store (1950 Western Ave., Knoxville, TN, 37921)  Exclusion Criteria:  Not patients at the CHS Knox County Pediatric Clinic A child not within the 4 to 10 years age range Child BMI at or below the 85 percentile Child without an adult caregiver (> 18 years) living in the household and not willing to participate in the program Adult caregivers that are not able to read and speak English Adult caregivers that are not willing to shop for fresh fruits and vegetables at the Western Ave Food City Store (1950 Western Ave., Knoxville, TN, 37921)