Skin cancer is a growing health threat in the United States; effective prevention logically begins with sun avoidance practices initiated early in childhood. However, little is known about the current level of skin cancer knowledge or skin cancer prevention practices among parents. A pilot survey of these levels was conducted among parents attending a single pediatric office in a nationally-affiliated health maintenance organization. This article reports the findings of that survey and identifies areas of knowledge and practice deficit. Implications and interventions are discussed.