Fitness testing and awards have been used in physical education classrooms for over 50 years. While their initial intention was to promote physical activity engagement, analyses show they are not achieving their goal. This article highlights fitness testing awards and the need to re-evaluate how they can help meet the physical activity guidelines for children ages 5 to 15 years. A cross-sectional secondary data analysis was employed using data from the 2013-2016 National Health and Nutrition Examination Survey (N = 3973). Analysis results showed that receiving fitness awards is not associated with children meeting physical activity guidelines. It is thus important for physical education teachers and school administrators to adopt and implement process-based fitness testing awards (e.g., giving awards for an individual's fitness-behavior goal achievement or improvement) along with performance-based fitness awards to enhance children's physical activity levels.