| Regional Tournament History |
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| 2024 |
| Class: 7A Area: 5 | | Area | Vestavia Hills 56-27 Tuscaloosa County | | Area | Vestavia Hills 48-50 Hoover | | Region NW Championship | | Regional | Vestavia Hills 37-40 Bob Jones |
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| 2023 |
| Class: 7A Area: 5 | | Area | Vestavia Hills 63-31 Thompson | | Area | Vestavia Hills 27-55 Hoover | | Region NW Championship | | Regional | Vestavia Hills 31-42 Bob Jones |
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| 2022 |
| Class: 7A Area: 6 | | Area | Vestavia Hills 58-10 Spain Park | | Area | Vestavia Hills 71-55 Hewitt-Trussville | | Region NE Championship | | Regional | Vestavia Hills 65-32 Huntsville | | Regional Finals | Vestavia Hills 59-43 Hewitt-Trussville |
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| 2021 |
| Class: 7A Area: 6 | | Area | Vestavia Hills 67-33 Gadsden City | | Area | Vestavia Hills 66-60 Hewitt-Trussville | | Region NW Championship | | Regional | Vestavia Hills 66-42 Huntsville | | Regional Finals | Vestavia Hills 46-48 Hewitt-Trussville |
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| 2020 |
| Class: 7A Area: 6 | | Area | Vestavia Hills 58-55 Hewitt-Trussville | | Area | Vestavia Hills 23-39 Spain Park | | Region NW Championship | | Regional | Vestavia Hills 54-49 Austin | | Regional Finals | Vestavia Hills 37-42 Spain Park |
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| 2019 |
| Class: 7A Area: 6 | | Area | Vestavia Hills 53-59 Hewitt-Trussville |
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| 2018 |
| Class: 7A Area: 5 | | Area | Vestavia Hills 28-76 Hoover |
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| 2017 |
| Class: 7A Area: 5 | | Area | Vestavia Hills 34-64 Hoover |
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| 2016 |
| Class: 7A Area: 6 | | Area | Vestavia Hills 23-63 Mountain Brook |
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| 2015 |
| Class: 7A Area: 6 | | Area | Vestavia Hills 36-74 Mountain Brook |
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| 2014 |
| Class: 6A Area: 11 | | Area | Vestavia Hills 36-56 Mountain Brook |
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| 2013 |
| Class: 6A Area: 11 | | Area | Vestavia Hills 38-72 Mountain Brook |
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| 2011 |
| Class: 6A Area: 12 | | Area | Vestavia Hills 51-37 Spain Park | | Area | Vestavia Hills 55-47 Mountain Brook | | Region NE Championship | | Sub-Regional | Vestavia Hills 43-37 Oak Mountain | | Regional | Vestavia Hills 46-59 Gadsden City |
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| 2010 |
| Class: 6A Area: 12 | | Area | Vestavia Hills 58-71 Homewood |
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| 2009 |
| Class: 6A Area: 12 | | Area | Vestavia Hills 60-41 Homewood | | Area | Vestavia Hills 42-30 Gardendale | | Region NE Championship | | Sub-Regional | Vestavia Hills 45-44 Pelham | | Regional | Vestavia Hills 37-55 Gadsden City |
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| 2008 |
| Class: 6A Area: 11 | | Area | Vestavia Hills 23-36 Oak Mountain |
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| 2007 |
| Class: 6A Area: 11 | | Area | Vestavia Hills 48-39 Spain Park | | Area | Vestavia Hills 49-69 Hoover | | Region NE Championship | | Sub-Regional | Vestavia Hills 58-54 Minor | | Regional | Vestavia Hills 40-57 Clay-Chalkville |
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| 2006 |
| Class: 6A Area: 6 | | Area | Vestavia Hills 61-40 Thompson | | Area | Vestavia Hills 59-50 Hoover | | Region NE Championship | | Sub-Regional | Vestavia Hills 59-30 Carver Birmingham | | Regional | Vestavia Hills 47-34 Spain Park | | Regional Finals | Vestavia Hills 52-30 Clay-Chalkville |
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| 2005 |
| Class: 6A Area: 6 | | Area | Vestavia Hills 55-35 Thompson | | Area | Vestavia Hills 48-40 Spain Park | | Region NE Championship | | Sub-Regional | Vestavia Hills 61-18 Hewitt-Trussville | | Regional | Vestavia Hills 47-40 Hoover | | Regional Finals | Vestavia Hills 59-43 Clay-Chalkville |
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| 2004 |
| Class: 6A Area: 6 | | Area | Vestavia Hills 55-45 Oak Mountain | | Area | Vestavia Hills 52-42 Hoover | | Region NE Championship | | Sub-Regional | Vestavia Hills 54-17 Shades Valley | | Regional | Vestavia Hills 53-35 Huffman | | Regional Finals | Vestavia Hills 41-46 Clay-Chalkville |
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| 2003 |
| Class: 6A Area: 6 | | Area | Vestavia Hills 26-29 Oak Mountain | | Region NE Championship | | Sub-Regional | Vestavia Hills 32-29 Mountain Brook | | Regional | Vestavia Hills 37-50 Hoover |
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| 2002 |
| Class: 6A Area: 9 | | Area | Vestavia Hills 56-29 Pelham | | Area | Vestavia Hills 43-47 Hoover | | Region NW Championship | | Sub-Regional | Vestavia Hills 44-55 Wenonah |
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| 2001 |
| Class: 6A Area: 9 | | Area | Vestavia Hills 44-49 Thompson |
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| 2000 |
| Class: 6A Area: 9 | | Area | Vestavia Hills 47-43 Thompson | | Area | Vestavia Hills 34-61 Hoover | | Region NE Championship | | Sub-Regional | Vestavia Hills 53-48 Woodlawn | | Regional | Vestavia Hills 59-46 Oxford | | Regional Finals | Vestavia Hills 38-51 Hoover |
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| 1999 |
| Class: 6A Area: 9 | | Area | Vestavia Hills 41-59 Hoover | | Area | Vestavia Hills 0-0 | | Region NE Championship | | Sub-Regional | Vestavia Hills 53-32 Mountain Brook | | Regional | Vestavia Hills 55-46 Pell City | | Regional Finals | Vestavia Hills 33-34 West End |
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| 1998 |
| Class: 6A Area: 8 | | Area | Vestavia Hills 46-54 Hoover | | Area | Vestavia Hills 0-0 | | Region SE Championship | | Sub-Regional | Vestavia Hills 62-32 Opelika | | Regional | Vestavia Hills 0-0 Dothan | | Regional Finals | Vestavia Hills 41-48 Prattville |
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| 1997 |
| Class: 6A Area: 8 | | Area | Vestavia Hills 0-0 Homewood | | Area | Vestavia Hills 50-34 Hoover | | Region SE Championship | | Sub-Regional | Vestavia Hills 65-30 Central Phenix City | | Regional | Vestavia Hills 57-38 Dothan | | Regional Finals | Vestavia Hills 40-37 Hoover |
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| 1996 |
| Class: 6A Area: 9 | | Area | Vestavia Hills 0-0 | | Area | Vestavia Hills 35-42 Hoover | | Region SE Championship | | Sub-Regional | Vestavia Hills 61-46 Prattville | | Regional | Vestavia Hills 47-37 Dothan | | Regional Finals | Vestavia Hills 52-46 Hoover |
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| 1995 |
| Class: 6A | | Sub-Regional | Vestavia Hills 46-57 Thompson | | Sub-Regional | Vestavia Hills 77-36 Pelham |
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| 1994 |
| Class: 6A Area: 9 | | Area | Vestavia Hills 75-47 Pelham | | Area | Vestavia Hills 50-46 Berry Birmingham | | Region C Championship | | Sub-Regional | Vestavia Hills 48-41 Opelika | | Regional | Vestavia Hills 42-50 Sidney Lanier |
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| 1993 |
| Class: 6A Area: 9 | | Area | Vestavia Hills 73-55 Thompson | | Area | Vestavia Hills 30-55 Berry Birmingham | | Region S3 Championship | | Sub-State | Vestavia Hills 35-49 Central Tuscaloosa |
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| 1992 |
| Class: 6A Area: 9 | | Area | Vestavia Hills 51-41 Shades Valley | | Area | Vestavia Hills 33-40 Berry Birmingham | | Region S3 Championship | | Sub-State | Vestavia Hills 33-45 Central Tuscaloosa |
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| 1991 |
| Class: 6A Area: 9 | | Area | Vestavia Hills 53-41 Shades Valley | | Area | Vestavia Hills 40-58 Berry Birmingham | | Region S3 Championship | | Sub-State | Vestavia Hills 38-45 Central Tuscaloosa |
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| 1990 |
| Class: 6A Area: 11 | | Area | Vestavia Hills 0-0 | | Area | Vestavia Hills 34-49 Berry Birmingham | | Region S3 Championship | | Sub-State | Vestavia Hills 48-54 Walker |
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| 1989 |
| Class: 6A Area: 11 | | Area | Vestavia Hills 39-56 Berry Birmingham | | Area | Vestavia Hills 45-35 Pelham |
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| 1988 |
| Class: 6A Area: 11 | | Area | Vestavia Hills 59-44 Shades Valley | | Area | Vestavia Hills 55-33 Berry Birmingham | | Region S3 Championship | | Sub-State | Vestavia Hills 55-30 Walker | | Sub-State Finals | Vestavia Hills 37-44 Berry Birmingham |
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| 1987 |
| Class: 6A Area: 11 | | Area | Vestavia Hills 0-0 | | Area | Vestavia Hills 44-37 Berry Birmingham | | Region S3 Championship | | Sub-State | Vestavia Hills 60-43 Jess Lanier | | Sub-State Finals | Vestavia Hills 70-62 Central Tuscaloosa | | SS3 | Vestavia Hills 48-46 Erwin |
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| 1986 |
| Class: 6A Area: 11 | | Area | Vestavia Hills 0-0 | | Area | Vestavia Hills 47-79 Berry Birmingham | | Region S3 Championship | | Sub-State | Vestavia Hills 0-0 Jess Lanier |
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| 1984 |
| Class: 4A Area: 7 | | Semi | Vestavia Hills 40-37 Berry Brimingham | | Finals | Vestavia Hills 0-0 Mountain Brook | | Region Championship | | Sub-State | Vestavia Hills 0-0 Bye | | SS3 | Vestavia Hills 43-63 Central Tuscaloosa |
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| 1983 |
| Class: 4A Area: 7 | | Semi | Vestavia Hills 0-0 | | Finals | Vestavia Hills 39-45 Berry Birmingham |
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| 1982 |
| Class: 4A Area: 7 | | Semi | Vestavia Hills 23-39 Mountain Brook |
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| 1981 |
| Class: 4A Area: 7 | | Semi | Vestavia Hills 0-0 | | Finals | Vestavia Hills 0-0 | | Region Championship | | Sub-State | Vestavia Hills 47-48 Central Tuscaloosa |
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| 1980 |
| Class: 4A Area: 7 | | Finals | Vestavia Hills 0-0 | | Region Championship | | Sub-State | Vestavia Hills 56-48 Central Tuscaloosa | | SS3 | Vestavia Hills 60-38 Carver Birmingham |
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| 1979 |
| Class: 4A Area: 7 | | 1 | Vestavia Hills 0-0 Bye | | Semi | Vestavia Hills 0-0 Hewitt-Trussville | | Finals | Vestavia Hills 66-34 Erwin | | Region Championship | | Sub-State | Vestavia Hills 47-40 Tuscaloosa | | SS3 | Vestavia Hills 56-49 Carver Montgomery |
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| 1978 |
| Class: 4A Area: 6 | | 1 | Vestavia Hills 0-0 | | Finals | Vestavia Hills 0-0 | | Region Championship | | Sub-State | Vestavia Hills 70-32 Wenonah | | SS3 | Vestavia Hills 51-39 Anniston |
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