| Regional Tournament History |
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| 2024 |
| Class: 7A Area: 6 | | Area | Hewitt-Trussville 63-15 Spain Park | | Area | Hewitt-Trussville 46-41 Chelsea | | Region NE Championship | | Regional | Hewitt-Trussville 64-22 Grissom | | Regional Finals | Hewitt-Trussville 54-44 Chelsea |
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| 2023 |
| Class: 7A Area: 6 | | Area | Hewitt-Trussville 61-19 Spain Park | | Area | Hewitt-Trussville 46-37 Chelsea | | Region NE Championship | | Regional | Hewitt-Trussville 56-30 Huntsville | | Regional Finals | Hewitt-Trussville 44-55 Sparkman |
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| 2022 |
| Class: 7A Area: 6 | | Area | Hewitt-Trussville 55-29 Gadsden City | | Area | Hewitt-Trussville 55-71 Vestavia Hills | | Region NE Championship | | Regional | Hewitt-Trussville 61-45 Sparkman | | Regional Finals | Hewitt-Trussville 43-59 Vestavia Hills |
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| 2021 |
| Class: 7A Area: 6 | | Area | Hewitt-Trussville 44-42 Spain Park | | Area | Hewitt-Trussville 60-66 Vestavia Hills | | Region NW Championship | | Regional | Hewitt-Trussville 49-42 Sparkman | | Regional Finals | Hewitt-Trussville 48-46 Vestavia Hills |
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| 2020 |
| Class: 7A Area: 6 | | Area | Hewitt-Trussville 55-58 Vestavia Hills |
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| 2019 |
| Class: 7A Area: 6 | | Area | Hewitt-Trussville 59-53 Vestavia Hills | | Area | Hewitt-Trussville 48-55 Spain Park | | Region NW Championship | | Regional | Hewitt-Trussville 62-47 Austin | | Regional Finals | Hewitt-Trussville 72-56 Spain Park |
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| 2018 |
| Class: 7A Area: 7 | | Area | Hewitt-Trussville 68-39 Gadsden City | | Area | Hewitt-Trussville 67-59 Grissom | | Region NE Championship | | Regional | Hewitt-Trussville 56-61 Huffman |
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| 2017 |
| Class: 7A Area: 7 | | Area | Hewitt-Trussville 33-35 Grissom |
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| 2016 |
| Class: 7A Area: 6 | | Area | Hewitt-Trussville 67-61 Spain Park | | Area | Hewitt-Trussville 56-51 Mountain Brook | | Region NE Championship | | Regional | Hewitt-Trussville 52-40 Huntsville | | Regional Finals | Hewitt-Trussville 41-47 Buckhorn |
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| 2015 |
| Class: 7A Area: 6 | | Area | Hewitt-Trussville 40-60 Spain Park |
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| 2014 |
| Class: 6A Area: 12 | | Area | Hewitt-Trussville 35-39 Gardendale |
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| 2013 |
| Class: 6A Area: 12 | | Area | Hewitt-Trussville 34-29 Carver Birmingham | | Area | Hewitt-Trussville 13-41 Gardendale | | Region NE Championship | | Sub-Regional | Hewitt-Trussville 28-60 Shades Valley |
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| 2012 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 38-51 Clay-Chalkville |
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| 2011 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 43-51 Clay-Chalkville |
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| 2010 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 56-35 Pell City | | Area | Hewitt-Trussville 55-66 Gadsden City | | Region NE Championship | | Sub-Regional | Hewitt-Trussville 46-63 Shades Valley |
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| 2009 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 65-29 Pell City | | Area | Hewitt-Trussville 43-52 Gadsden City | | Region NE Championship | | Sub-Regional | Hewitt-Trussville 50-68 Shades Valley |
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| 2008 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 79-32 Pinson Valley | | Area | Hewitt-Trussville 60-56 Shades Valley | | Region NE Championship | | Sub-Regional | Hewitt-Trussville 51-49 Gadsden City | | Regional | Hewitt-Trussville 52-56 Mountain Brook |
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| 2007 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 56-38 Huffman | | Area | Hewitt-Trussville 54-41 Pinson Valley | | Region NE Championship | | Sub-Regional | Hewitt-Trussville 40-61 Gadsden City |
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| 2006 |
| Class: 6A Area: 7 | | Area | Hewitt-Trussville 37-46 Huffman | | Region NE Championship | | Sub-Regional | Hewitt-Trussville 21-67 Hoover |
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| 2005 |
| Class: 6A Area: 7 | | Area | Hewitt-Trussville 38-36 Shades Valley | | Area | Hewitt-Trussville 26-73 Clay-Chalkville | | Area | Hewitt-Trussville 0-0 Carver Birmingham | | Region NE Championship | | Sub-Regional | Hewitt-Trussville 18-61 Vestavia Hills |
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| 2004 |
| Class: 6A Area: 7 | | Area | Hewitt-Trussville 45-79 Mountain Brook |
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| 2002 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 26-64 Clay-Chalkville |
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| 2001 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 48-64 Clay-Chalkville |
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| 2000 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 31-59 Shades Valley |
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| 1998 |
| Class: 6A Area: 12 | | Area | Hewitt-Trussville 12-73 Pell City |
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| 1997 |
| Class: 6A Area: 12 | | Area | Hewitt-Trussville 41-70 Oxford |
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| 1995 |
| Class: 6A | | Sub-Regional | Hewitt-Trussville 35-52 Shades Valley |
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| 1994 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 48-65 Walker | | Area | Hewitt-Trussville 59-53 Gardendale | | Region NE Championship | | Sub-Regional | Hewitt-Trussville 44-72 Austin |
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| 1993 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 0-0 | | Area | Hewitt-Trussville 0-0 Walker | | Region S4 Championship | | Sub-State | Hewitt-Trussville 32-62 Grissom |
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| 1992 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 56-57 Gardendale |
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| 1991 |
| Class: 6A Area: 13 | | Area | Hewitt-Trussville 80-59 Mountain Brook | | Area | Hewitt-Trussville 62-42 Gardendale | | Region S4 Championship | | Sub-State | Hewitt-Trussville 74-78 Scottsboro |
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| 1990 |
| Class: 6A Area: 10 | | Area | Hewitt-Trussville 64-41 Gardendale | | Area | Hewitt-Trussville 0-0 | | Region S3 Championship | | Sub-State | Hewitt-Trussville 60-54 Anniston | | Sub-State Finals | Hewitt-Trussville 59-75 Walker |
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| 1989 |
| Class: 6A Area: 10 | | Area | Hewitt-Trussville 40-59 Mountain Brook | | Area | Hewitt-Trussville 42-41 Gardendale | | Region S3 Championship | | Sub-State | Hewitt-Trussville 43-52 Benjamin Russell |
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| 1988 |
| Class: 6A Area: 10 | | Area | Hewitt-Trussville 27-43 Erwin |
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| 1984 |
| Class: 4A Area: 10 | | 1 | Hewitt-Trussville 51-60 Anniston |
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| 1982 |
| Class: 4A Area: 6 | | Semi | Hewitt-Trussville 38-37 Minor | | Finals | Hewitt-Trussville 0-0 Erwin |
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| 1979 |
| Class: 4A Area: 7 | | Semi | Hewitt-Trussville 0-0 Vestavia Hills |
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| 1978 |
| Class: 4A Area: 7 | | Semi | Hewitt-Trussville 0-0 | | Finals | Hewitt-Trussville 0-0 | | Region Championship | | Sub-State | Hewitt-Trussville 18-52 Tuscaloosa |
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