2003-2004 REGIONAL CHAMPIONS
| Region 1 | Murray Winner Heath Runner-up | |
| Region 2 | Dawson Springs | |
| Region 3 | Hancock County | |
| Region 4 | Clinton County | |
| Region 5 | Bardstown | |
| Region 6 | No Tournament | |
| Region 7 | Saint Francis | |
| Region 8 | Walton-Verona | |
| Region 9 | Lloyd Memorial | |
| Region 10 | Maysville Saint Patrick | |
| Region 11 | Berea | |
| Region 12 | Danville | |
| Region 13 | Middlesboro | |
| Region 14 | Wolfe County | |
| Region 15 | Pikeville | |
| Region 16 | Bath County |