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High school teams registered with MTHSSA for 2019-2020 as of December 3, 2019
| Beech HS |
| Blackman HS |
| Brentwood Academy |
| Brentwood HS |
| Centennial HS |
| Cookeville HS |
| Davidson Academy |
| Father Ryan |
| Franklin County HS |
| Friendship Christian |
| Grace Christian Academy |
| Hendersonville HS |
| Henry County HS |
| Heritage Christian Academy |
| Home School (Winchester) |
| Huntland HS |
| Independence HS |
| LaVergne HS |
| Lebanon HS |
| Lincoln County HS |
| Lipscomb Academy |
| Merroll Hyde Magnet School |
| Middle TN Christian School |
| Mount Juliet HS |
| Nolensville HS |
| Oakland HS |
| Portland HS |
| Ravenwood HS |
| Riverdale HS |
| Rockvale HS |
| Saint Cecilia Academy |
| Siegel HS |
| Smyrna HS |
| Station Camp HS |
| Stewarts Creek HS |
| Stratford HS |
| Tullahoma HS |
| Westmoreland HS |
| White County HS |
| White House Heritage HS |
| White House HS |
| Wilson Central HS |
| Winchester Christian Academy |
| Zion Christian Academy |
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