| Regional Tournament History |
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| 2024 |
| Class: 5A Area: 10 | | Area | Ramsay 41-21 Carver Birmingham | | Area | Ramsay 15-41 Jasper | | Region NW Championship | | Sub-Regional | Ramsay 68-46 Ardmore | | Regional | Ramsay 23-52 Pleasant Grove |
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| 2023 |
| Class: 5A Area: 10 | | Area | Ramsay 53-34 Hayden | | Area | Ramsay 26-45 Jasper | | Region NW Championship | | Sub-Regional | Ramsay 38-40 Pleasant Grove |
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| 2022 |
| Class: 5A Area: 10 | | Area | Ramsay 34-30 Leeds | | Area | Ramsay 66-32 Carver Birmingham | | Sub-Regional | Ramsay 50-35 Alexandria | | Regional | Ramsay 38-39 Sardis |
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| 2021 |
| Class: 5A Area: 10 | | Area | Ramsay 60-39 Parker | | Area | Ramsay 47-63 Carver Birmingham | | Sub-Regional | Ramsay 59-52 Alexandria | | Regional | Ramsay 38-34 Fairview | | Regional Finals | Ramsay 65-74 Carver Birmingham |
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| 2020 |
| Class: 5A Area: 8 | | Area | Ramsay 92-8 Woodlawn | | Area | Ramsay 69-22 Briarwood | | Region C Championship | | Sub-Regional | Ramsay 123-20 Central Clay County | | Regional | Ramsay 41-49 Charles Henderson |
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| 2019 |
| Class: 5A Area: 8 | | Area | Ramsay 71-23 Woodlawn | | Area | Ramsay 70-26 Briarwood | | Region C Championship | | Sub-Regional | Ramsay 74-11 Munford | | Regional | Ramsay 74-41 Brewbaker Tech | | Regional Finals | Ramsay 44-42 Charles Henderson |
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| 2018 |
| Class: 6A Area: 10 | | Area | Ramsay 61-11 Parker | | Area | Ramsay 60-49 Homewood | | Region NE Championship | | Sub-Regional | Ramsay 60-38 Pell City | | Regional | Ramsay 59-53 Center Point | | Regional Finals | Ramsay 73-49 Homewood |
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| 2017 |
| Class: 6A Area: 10 | | Area | Ramsay 48-32 Parker | | Area | Ramsay 32-47 Homewood | | Region NE Championship | | Sub-Regional | Ramsay 46-44 Clay-Chalkville | | Regional | Ramsay 62-39 Fort Payne | | Regional Finals | Ramsay 61-76 Homewood |
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| 2016 |
| Class: 5A Area: 9 | | Area | Ramsay 68-44 Fairfield | | Area | Ramsay 43-56 Wenonah | | Region NW Championship | | Sub-Regional | Ramsay 81-28 Carver Birmingham | | Regional | Ramsay 46-34 Lawrence County | | Regional Finals | Ramsay 59-67 Wenonah |
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| 2015 |
| Class: 5A Area: 9 | | Area | Ramsay 65-57 Pleasant Grove | | Area | Ramsay 38-55 Wenonah | | Region Championship | | Sub-Regional | Ramsay 55-24 Carver Birmingham | | Regional | Ramsay 58-35 Fairview | | R2 | Ramsay 43-53 Wenonah |
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| 2014 |
| Class: 5A Area: 9 | | Area | Ramsay 38-17 Briarwood Christian | | Area | Ramsay 43-45 Homewood | | Region NW Championship | | Sub-Regional | Ramsay 37-33 Center Point | | Regional | Ramsay 44-64 Brewer |
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| 2013 |
| Class: 5A Area: 9 | | Area | Ramsay 52-19 John Carroll | | Area | Ramsay 39-37 Homewood | | Region NE Championship | | Sub-Regional | Ramsay 44-31 Pinson Valley | | Regional | Ramsay 26-36 Columbia |
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| 2012 |
| Class: 5A Area: 9 | | Area | Ramsay 50-18 Parker | | Area | Ramsay 54-40 Wenonah | | Region NE Championship | | Sub-Regional | Ramsay 58-29 Pinson Valley | | Regional | Ramsay 43-56 Center Point |
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| 2011 |
| Class: 5A Area: 9 | | Area | Ramsay 85-21 Parker | | Area | Ramsay 47-42 Wenonah | | Region NE Championship | | Sub-Regional | Ramsay 48-37 Woodlawn | | Regional | Ramsay 40-38 Arab | | Regional Finals | Ramsay 45-47 Erwin |
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| 2010 |
| Class: 4A Area: 8 | | Area | Ramsay 98-17 Oak Grove | | Area | Ramsay 40-36 Midfield | | Region C Championship | | Sub-Regional | Ramsay 60-17 Calera | | Regional | Ramsay 65-29 Munford | | Regional Finals | Ramsay 31-45 Midfield |
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| 2009 |
| Class: 4A Area: 8 | | Area | Ramsay 55-32 Oak Grove | | Area | Ramsay 36-45 Midfield | | Region C Championship | | Sub-Regional | Ramsay 46-40 Munford | | Regional | Ramsay 60-19 Southside Selma | | Regional Finals | Ramsay 30-51 Midfield |
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| 2008 |
| Class: 5A Area: 8 | | Area | Ramsay 0-0 John Carroll | | Area | Ramsay 41-27 Parker | | Region C Championship | | Sub-Regional | Ramsay 64-27 McAdory | | Regional | Ramsay 38-23 Demopolis | | Regional Finals | Ramsay 44-33 Jess Lanier |
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| 2007 |
| Class: 5A Area: 8 | | Area | Ramsay 56-14 Parker | | Area | Ramsay 50-29 Briarwood | | Region C Championship | | Sub-Regional | Ramsay 63-16 Brookwood | | Regional | Ramsay 56-23 Wilcox Central | | Regional Finals | Ramsay 59-49 Jess Lanier |
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| 2006 |
| Class: 5A Area: 9 | | Area | Ramsay 55-36 Parker | | Area | Ramsay 57-37 Wenonah | | Region NW Championship | | Sub-Regional | Ramsay 49-33 West End | | Regional | Ramsay 48-25 Cullman | | Regional Finals | Ramsay 47-45 Fairfield |
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| 2005 |
| Class: 5A Area: 9 | | Area | Ramsay 58-29 Homewood | | Area | Ramsay 63-23 Wenonah | | Region NW Championship | | Sub-Regional | Ramsay 57-40 West End | | Regional | Ramsay 53-39 Hartselle | | Regional Finals | Ramsay 61-53 Fairfield |
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| 2004 |
| Class: 5A Area: 9 | | Area | Ramsay 56-24 Jackson-Olin | | Area | Ramsay 68-32 Pleasant Grove | | Region NW Championship | | Sub-Regional | Ramsay 62-33 Erwin | | Regional | Ramsay 52-43 Bradshaw | | Regional Finals | Ramsay 43-42 Athens |
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| 2003 |
| Class: 5A Area: 9 | | Area | Ramsay 58-19 Carver Birmingham | | Area | Ramsay 65-30 Jackson-Olin | | Region NW Championship | | Sub-Regional | Ramsay 75-46 Erwin | | Regional | Ramsay 40-49 Athens |
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| 2002 |
| Class: 5A Area: 11 | | Area | Ramsay 52-23 Jackson-Olin | | Area | Ramsay 66-63 Gardendale | | Region NW Championship | | Sub-Regional | Ramsay 24-21 Pleasant Grove | | Regional | Ramsay 41-53 Athens |
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| 2001 |
| Class: 5A Area: 11 | | Area | Ramsay 45-53 Gardendale |
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| 2000 |
| Class: 5A Area: 10 | | Area | Ramsay 22-45 John Carroll |
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| 1998 |
| Class: 5A Area: 10 | | Area | Ramsay 27-84 Fairfield | | Area | Ramsay 0-0 | | Region NW Championship | | Sub-Regional | Ramsay 54-70 Thompson |
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| 1997 |
| Class: 5A Area: 10 | | Area | Ramsay 0-0 Jackson-Olin | | Area | Ramsay 47-72 Fairfield | | Region NW Championship | | Sub-Regional | Ramsay 44-57 Thompson |
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| 1995 |
| Class: 5A | | Sub-Regional | Ramsay 58-67 Homewood |
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| 1994 |
| Class: 5A Area: 10 | | Area | Ramsay 54-64 Jackson-Olin | | Area | Ramsay 37-34 Pinson Valley | | Region NW Championship | | Sub-Regional | Ramsay 51-71 Oxford |
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| 1993 |
| Class: 5A Area: 10 | | Area | Ramsay 34-35 Erwin |
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| 1992 |
| Class: 5A Area: 10 | | Area | Ramsay 51-40 Carver Birmingham | | Area | Ramsay 26-87 Pell City |
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| 1991 |
| Class: 5A Area: 10 | | Area | Ramsay 42-47 Carver Birmingham |
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| 1989 |
| Class: 5A Area: 9 | | Area | Ramsay 37-39 Phillips Birmingham |
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| 1983 |
| Class: 4A Area: 9 | | Semi | Ramsay 0-0 | | Finals | Ramsay 45-57 Carver Birmingham |
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| 1979 |
| Class: 4A Area: 9 | | Semi | Ramsay 0-0 Phillips Birmingham |
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