The purposes of this exploratory qualitative research were to describe perceptions related to childhood obesity of rural parents, teachers, and school administrators and to examine how their perceptions shape their choices and behaviors for children's eating and physical exercise. The results showed that the perceptions of childhood obesity in the community differed among school administrators, teachers, and parents. There were also distinct differences in the aspects of the practices that each group focused on for children's healthy eating and physical activities. Their practices seemed to be influenced by their perceptions of childhood obesity. Challenges for addressing childhood obesity are identified.