The Ireland North and South Report Card on Physical Activity for Children and Adolescents aims to provoke change in priorities, practices and funding in relation to children’s PA across the island of Ireland. This Report Card builds on the work from previous Report Cards in 2014 (6) and 2016 (7) and will aim to serve as a tool for practitioners and policy makers to identify key needs and gaps, and to advocate for and allocate funds to children’s PA promotion initiatives. In addition, the 2022 Report Card will, for the first time, include an indicator on Physical Fitness and a set of grades specific to children and adolescents with disabilities.