2019 Section Alignment
| Section 1 | Section 2 | Section 3 | Section 4 |
| McCaskey | Lebanon | Manheim Central* | Anville-Cleona |
| Hempfield | Conestoga Valley | Garden Spot | Pequea Valley |
| Manheim Township | Elizabethtown | Cocalico | Lancaster Catholic* |
| Penn Manor | Ephrata† | Donegal | Columbia |
| Cedar Crest* | Solanco | ELCO | Lancaster Mennonite |
| Warwick | Lampeter-Strasburg | Northern Lebanon | Lebanon Catholic |
| Octorara |
†2018 League and Section Champion
*2018 Section Champion
Current Standings courtesy Lancaster Online