The purpose of this capstone is to identify the need for leisure assessment in pediatrics as well as to identify valid and reliable leisure assessments to use in a pediatric population. Leisure is a necessary occupation and influences a child’s well-being and quality of life. Children with disabilities and from at-risk populations have limited leisure opportunities which affect their ability to participate, quality of life and well-being. Assessment of leisure using valid and reliable assessments can improve documentation of the effectiveness of occupational therapy as well as improve health-related outcomes. The Children’s Assessment of Participation and Enjoyment/ Preferences for Activities of Children, Canadian Occupational Performance Measure, and the Goal Attainment Scaling are valid and reliable outcome measures to use to assess and measure leisure participation.