Background: Locomotor and object control skills are considered essential skills for children to learn due to their potential impact in aiding in future healthenhancing physical activity. Evidence indicates that out-of-school time programs (OST) can provide meaningful movement opportunities for children. It has been found that leaders of OST programs are not equipped with the proper training to improve children's motor skills. The purpose of this study was to gather expert consensus on the essential motor skills that should be practiced and evidence-based activities that should be integrated during OST programming. Methods: A three-round Delphi method was used to establish expert consensus on essential motor skills that children (5-10 years of age) should practice and evidence-based activities that should be integrated during OST programming to enhance child motor skill development. Results: Seven experts completed three rounds, and consensus was established (>70% agreement). Five essential motor skills were identified: overhand throwing, kicking, catching, jumping, and striking. Six evidence-based activities were agreed upon: team sport play, racket sports, swimming, resistance training, jogging/walking, and game-based approaches. Conclusion: Results from this study provide specific motor skills and evidence-based activities that program leaders could integrate during OST programming to enhance child motor skill development.