2019 Section Alignment
| Section 1 |
| Cedar Crest |
| Cocalico |
| Conestoga Valley |
| Elizabethtown |
| Ephrata |
| Garden Spot |
| Hempfield |
| Lampeter-Strasburg |
| Lancaster Country Day/Lancaster Catholic |
| Manheim Township* |
| Penn Manor |
| Warwick |
*2018 League Champion
2018 Standings courtesy Lancaster Online