Childhood obesity is a persistent health issue in the United States. There has been an increase in the number of meals purchased away from home as the presence of fast food establishments has risen. Previous studies suggest that children who frequently consume meals away from home, specifically fast food meals, are at higher risk of being overweight or obese. The present study examined the association between caregiver perception of child weight status and frequency of fast food consumption in children. This is a secondary analysis of 1,905 children ages 4 to 17; information was self-reported from the child’s caregiver. Data were collected from the 2009 North Carolina Child Health Assessment and Monitoring Program (NC CHAMP) and the 2009 Behavioral Risk Factor Surveillance System (BRFSS). To analyze the data, simple and multivariate logistic regression were used to produce odds ratios (ORs) and 95% confidence intervals (CIs). In the unadjusted and adjusted analyses, no association was found between caregivers; perception of children’s weight status and children’s eating fast food two or more times per week. To study this relationship in more detail, future research looking at this relationship stratifying by actual weight status, as racial/ethnicity, or caregivers’ relationship to the child (i.e., grandparent or guardian) is warranted. The present study found that cultural implications, such as race or ethnic background, have the potential to influence rate of fast food consumption in children. Moreover, it was found that a large percentage of North Carolina children consume fast food more than two times a week compared to other children from the United States, further indicating that public health professionals should research the factors associated with increased fast food consumption and provide counseling to families, considering those factors, to improve diet quality in children.