| CINCINNATI WEST CLERMONT Seed: 15 3 |
| Date: 5/6/2024 Time: 6:00 PM |
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25-12, 25-22, 25-20
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| CIN. OAK HILLS Seed: 16 0 |
| CIN. ST. XAVIER Seed: 1 3 |
| Date: 5/8/2024 Time: 6:00 PM |
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25-9, 25-8, 25-9
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| HAMILTON Seed: 17 0 |
| WEST CHESTER LAKOTA WEST Seed: 13 1 |
| Date: 5/8/2024 Time: 6:00 PM |
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24-26, 27-25, 27-25, 25-16
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| MILFORD Seed: 11 3 |
| CIN. ELDER Seed: 5 3 |
| Date: 5/8/2024 Time: 6:00 PM |
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25-14, 25-14, 25-7
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| MASON Seed: 8 0 |
| CIN. WALNUT HILLS Seed: 4 3 |
| Date: 5/8/2024 Time: 6:00 PM |
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25-13, 25-15, 21-25, 25-14
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| FAIRFIELD Seed: 7 1 |
| CIN. ARCHBISHOP MOELLER Seed: 2 3 |
| Date: 5/8/2024 Time: 6:00 PM |
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25-7, 25-13, 25-18
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| CIN. PRINCETON Seed: 14 0 |
| CIN. SYCAMORE Seed: 9 2 |
| Date: 5/8/2024 Time: 6:00 PM |
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22-25, 25-23, 23-25, 26-24, 15-11
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| LOVELAND Seed: 10 3 |
| CIN. LASALLE Seed: 6 3 |
| Date: 5/8/2024 Time: 6:00 PM |
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25-13, 29-27, 25-14
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| CINCINNATI WEST CLERMONT Seed: 15 0 |
| LIBERTY TWP. LAKOTA EAST Seed: 3 3 |
| Date: 5/8/2024 Time: 6:00 PM |
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25-14, 25-13, 25-13
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| LEBANON Seed: 12 0 |
| CIN. ST. XAVIER Seed: 1 3 |
| Date: 5/10/2024 Time: 6:00 PM |
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25-12, 25-18, 25-15
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| MILFORD Seed: 11 0 |
| CIN. ELDER Seed: 5 3 |
| Date: 5/10/2024 Time: 6:00 PM |
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25-22, 25-19, 19-25, 25-10
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| CIN. WALNUT HILLS Seed: 4 1 |
| CIN. ARCHBISHOP MOELLER Seed: 2 3 |
| Date: 5/10/2024 Time: 6:00 PM |
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25-10, 25-13, 25-18
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| LOVELAND Seed: 10 0 |
| CIN. LASALLE Seed: 6 3 |
| Date: 5/10/2024 Time: 6:00 PM |
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25-23, 25-22, 25-15
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| LIBERTY TWP. LAKOTA EAST Seed: 3 0 |
| CIN. ST. XAVIER Seed: 1 3 |
| Date: 5/15/2024 Time: 6:00 PM |
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25-7, 25-18, 25-23
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| CIN. ELDER Seed: 5 0 |
| CIN. ARCHBISHOP MOELLER Seed: 2 3 |
| Date: 5/15/2024 Time: 6:00 PM |
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25-15, 25-15, 26-24
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| CIN. LASALLE Seed: 6 0 |
| CIN. ST. XAVIER Seed: 1 3 |
| Date: 5/18/2024 Time: 2:00 PM |
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25-21, 25-22, 25-19
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| CIN. ARCHBISHOP MOELLER Seed: 2 0 |
| CIN. ST. XAVIER |
| Region 4 Winner | | Advances to Wittenberg University | | Saturday, May 25 | | 5:00 PM |
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