| Regional Tournament History |
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| 2024 |
| Class: 5A Area: 16 | | Area | Madison Academy 40-55 East Limestone |
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| 2023 |
| Class: 5A Area: 16 | | Area | Madison Academy 70-45 Ardmore | | Area | Madison Academy 46-39 East Limestone | | Region NW Championship | | Sub-Regional | Madison Academy 54-35 Lawrence County | | Regional | Madison Academy 48-51 Jasper |
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| 2022 |
| Class: 6A Area: 16 | | Area | Madison Academy 34-43 Athens |
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| 2021 |
| Class: 6A Area: 16 | | Area | Madison Academy 55-50 Athens | | Area | Madison Academy 22-54 Hazel Green | | Sub-Regional | Madison Academy 56-49 Buckhorn | | Regional | Madison Academy 44-51 Hartselle |
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| 2020 |
| Class: 5A Area: 16 | | Area | Madison Academy 59-34 Ardmore | | Area | Madison Academy 53-35 East Limestone | | Region NW Championship | | Sub-Regional | Madison Academy 72-28 Hamilton | | Regional | Madison Academy 61-40 Pleasant Grove | | Regional Finals | Madison Academy 69-54 West Point |
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| 2019 |
| Class: 5A Area: 16 | | Area | Madison Academy 79-49 Madison County | | Area | Madison Academy 60-12 East Limestone | | Region NW Championship | | Sub-Regional | Madison Academy 52-21 Hamilton | | Regional | Madison Academy 55-41 Wenonah | | Regional Finals | Madison Academy 56-42 Pleasant Grove |
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| 2018 |
| Class: 4A Area: 14 | | Area | Madison Academy 70-11 Westminster Christian | | Area | Madison Academy 66-43 Madison County | | Region NE Championship | | Sub-Regional | Madison Academy 43-36 Anniston | | Regional | Madison Academy 52-26 Hokes Bluff | | Regional Finals | Madison Academy 45-31 Jacksonville |
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| 2017 |
| Class: 4A Area: 14 | | Area | Madison Academy 74-8 Randolph | | Area | Madison Academy 59-35 Madison County | | Region NE Championship | | Sub-Regional | Madison Academy 83-25 North Jackson | | Regional | Madison Academy 59-49 Hokes Bluff | | Regional Finals | Madison Academy 64-48 Madison County |
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| 2016 |
| Class: 3A Area: 15 | | Area | Madison Academy 53-33 Clements | | Area | Madison Academy 47-51 Lauderdale County | | Region NW Championship | | Sub-Regional | Madison Academy 68-29 Holly Pond | | Regional | Madison Academy 59-62 Lexington |
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| 2015 |
| Class: 3A Area: 15 | | Area | Madison Academy 0-0 West Morgan | | Area | Madison Academy 52-60 Lauderdale County | | Region Championship | | Sub-Regional | Madison Academy 57-43 Holly Pond | | Regional | Madison Academy 66-54 Winfield | | R2 | Madison Academy 56-60 Lauderdale County |
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| 2014 |
| Class: 3A Area: 15 | | Area | Madison Academy 59-20 Westminster Huntsville | | Area | Madison Academy 66-27 West Morgan | | Region NE Championship | | Sub-Regional | Madison Academy 67-47 Mars Hill | | Regional | Madison Academy 48-27 Winfield | | Regional Finals | Madison Academy 58-61 Lauderdale County |
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| 2013 |
| Class: 3A Area: 15 | | Area | Madison Academy 60-29 Elkmont | | Area | Madison Academy 53-28 West Morgan | | Region NW Championship | | Sub-Regional | Madison Academy 45-43 Mars Hill | | Regional | Madison Academy 46-26 Danville | | Regional Finals | Madison Academy 45-54 Lauderdale County |
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| 2012 |
| Class: 3A Area: 14 | | Area | Madison Academy 63-17 Brindlee Mountain | | Area | Madison Academy 42-10 Randolph | | Region NE Championship | | Sub-Regional | Madison Academy 49-42 Sylvania | | Regional | Madison Academy 61-57 Saks | | Regional Finals | Madison Academy 73-51 Pisgah |
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| 2011 |
| Class: 3A Area: 14 | | Area | Madison Academy 72-24 Brindlee Mountain | | Area | Madison Academy 74-29 Randolph | | Region NE Championship | | Sub-Regional | Madison Academy 69-32 Plainview | | Regional | Madison Academy 67-36 Ashville | | Regional Finals | Madison Academy 69-31 Saks |
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| 2010 |
| Class: 3A Area: 15 | | Area | Madison Academy 80-31 Elkmont | | Area | Madison Academy 72-23 West Limestone | | Region NW Championship | | Sub-Regional | Madison Academy 80-27 Vinemont | | Regional | Madison Academy 51-48 Lauderdale County | | Regional Finals | Madison Academy 52-37 Good Hope |
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| 2009 |
| Class: 3A Area: 15 | | Area | Madison Academy 63-21 Catholic Huntsville | | Area | Madison Academy 68-49 Elkmont | | Region NW Championship | | Sub-Regional | Madison Academy 61-29 Hanceville | | Regional | Madison Academy 62-34 Lauderdale County | | Regional Finals | Madison Academy 54-48 West Morgan |
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| 2008 |
| Class: 3A Area: 14 | | Area | Madison Academy 71-27 Randolph | | Area | Madison Academy 68-38 New Hope | | Region NE Championship | | Sub-Regional | Madison Academy 44-47 Geraldine |
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| 2007 |
| Class: 3A Area: 14 | | Area | Madison Academy 50-42 Holly Pond | | Area | Madison Academy 30-51 New Hope | | Region NE Championship | | Sub-Regional | Madison Academy 42-62 Crossville |
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| 2006 |
| Class: 3A Area: 15 | | Area | Madison Academy 29-36 New Hope |
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| 2005 |
| Class: 3A Area: 15 | | Area | Madison Academy 38-35 Randolph | | Area | Madison Academy 48-44 New Hope | | Region NW Championship | | Sub-Regional | Madison Academy 45-62 Lauderdale County |
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| 2004 |
| Class: 3A Area: 16 | | Area | Madison Academy 33-25 Randolph | | Area | Madison Academy 24-38 D.A.R. |
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| 2003 |
| Class: 3A Area: 16 | | Area | Madison Academy 38-41 Plainview |
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| 2002 |
| Class: 3A Area: 14 | | Area | Madison Academy 0-0 Randolph | | Area | Madison Academy 45-65 D.A.R. | | Region NE Championship | | Sub-Regional | Madison Academy 40-47 Good Hope |
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| 2001 |
| Class: 3A Area: 14 | | Area | Madison Academy 0-0 New Hope | | Area | Madison Academy 49-56 D.A.R. | | Region NE Championship | | Sub-Regional | Madison Academy 51-70 Hanceville |
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| 2000 |
| Class: 1A Area: 15 | | Area | Madison Academy 0-0 | | Area | Madison Academy 0-0 Westminster Christian | | Region NE Championship | | Sub-Regional | Madison Academy 34-33 Spring Garden | | Regional | Madison Academy 50-32 Ragland | | Regional Finals | Madison Academy 38-46 Westminster Christian |
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| 1999 |
| Class: 1A Area: 15 | | Area | Madison Academy 0-0 | | Area | Madison Academy 32-45 Westminster Christian | | Region NE Championship | | Sub-Regional | Madison Academy 50-63 Westbrook Christian |
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| 1998 |
| Class: 1A Area: 14 | | Area | Madison Academy 63-51 Speake | | Area | Madison Academy 35-40 Westminster Christian | | Region NW Championship | | Sub-Regional | Madison Academy 38-62 Waterloo |
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| 1997 |
| Class: 1A Area: 14 | | Area | Madison Academy 0-0 | | Area | Madison Academy 52-45 Addison | | Region NW Championship | | Sub-Regional | Madison Academy 60-65 Waterloo |
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| 1994 |
| Class: 1A Area: 15 | | Area | Madison Academy 0-0 | | Area | Madison Academy 48-48 Speake | | Region NW Championship | | Sub-Regional | Madison Academy 30-32 Hubbertville |
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| 1993 |
| Class: 1A Area: 15 | | Area | Madison Academy 0-0 Courtland | | Area | Madison Academy 0-0 | | Region S4 Championship | | Sub-State | Madison Academy 43-49 Valley Head |
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| 1982 |
| Class: 1A Area: 11 | | Semi | Madison Academy 0-0 | | Finals | Madison Academy 0-0 | | Region Championship | | Sub-State | Madison Academy 36-38 Collinsville |
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| 1980 |
| Class: 1A Area: 11 | | 1 | Madison Academy 50-42 Paint Rock | | Semi | Madison Academy 29-47 Randolph |
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| 1979 |
| Class: 1A Area: 11 | | 1 | Madison Academy 42-23 West End Walnut Grove | | Semi | Madison Academy 0-0 Cleveland |
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