The health of individuals in their childhood has critical consequences for their life course. Researchers have recently begun to explore the influence of adolescent health on educational attainment. Using data from the National Longitudinal Study of Adolescent Health, this study investigates the relationship between self-rated health in adolescence (grades 7-12) and educational attainment in early adulthood among black and white males and females. The study reveals a graduated pattern in the relationship between health and educational attainment among the subgroups examined. All groups with fair or poor self-rated health show similar dramatic declines in their odds of completing high school or entering college. Patterns diverge by race and gender with more modest health deficits. White women with less than excellent/very good health show the steepest reduction in their educational attainment. Academic, behavioral, and psychological factors, as well as timing, help to explain the association between health and educational attainment.