| 1. | - | Kayla Bryant
Moriah Njoko
Olivia Moore
Chesare Spadaro | 50.11a | Woodrow Wilson | |
| 2. | - | Kristopher Keith
Tyesha Branch
Leah Ching
Jessica Scott | 51.58a | Huntington | |
| 3. | - | Relay Team | 51.86a | Capital | |
| 4. | - | Ashlee Higgins
Latrice Thompson
Tierni Bevino
Shea Thompson | 51.96a | St Albans | |
| 5. | - | Hadassah Lynch
Tori Wilson
Taylor Fordyce
Meghan Ruddlesden | 51.98a | Parkersburg | |
| 6. | - | Becca Logan
Tiernie Stewart
Abby Barber
Angel Cunningham | 52.34a | Hurricane | |
| 7. | - | Elayna Conard
Courtney Dilcher
Hannah Jordan
Haley Hall | 52.54a | Cabell Midland | |
| 8. | - | Jerelyn Rothrock
Jessi Given
Stephanie Gruber
Amanda Mellen | 54.00a | Ripley | |
| 9. | - | Kayla Yates
Michaela Keen
Emily Clemons
Ashton Holliday | 55.70a | Greenbrier East | |
| 10. | - | Brittany Adkins
Andreana Bowman
Shakira Bowman
Rebecca Ransbottom | 57.47a | Riverside | |
| 1. | - | Kayla Bryant
Moriah Njoko
Olivia Moore
Chesare Spadaro | 1:46.03a | Woodrow Wilson | |
| 2. | - | Hadassah Lynch
Vanessa Keiser
Airika Gainer
Meghan Ruddlesden | 1:50.49a | Parkersburg | |
| 3. | - | Tyesha Branch
Jessica Scott
Maria Hightower
Leah Ching | 1:50.97a | Huntington | |
| 4. | - | Abby Barber
Chloe Barber
Tiernie Stewart
Angel Cunningham | 1:52.00a | Hurricane | |
| 5. | - | Elayna Conard
Courtney Dilcher
Hannah Jordan
Kinsey Hall | 1:52.18a | Cabell Midland | |
| 6. | - | Jamilah Dean
Nautica Carter
Tatiyana Woods
Tanija Spencer | 1:52.34a | Capital | |
| 7. | - | Bailey Parsons
Amanda Mellen
Jerelyn Rothrock
Jessi Given | 1:55.63a | Ripley | |
| 8. | - | Ashlee Higgins
Tierni Bevino
Patrice Calhoun
Shea Thompson | 1:56.40a | St Albans | |
| 9. | - | Isabell Rogner
Emily Clemons
Ashton Holliday
Lindsey McClintic | 1:56.66a | Greenbrier East | |
| 10. | - | Bailey Rhodes
Anna Gage
Jarrett Walker
Chelsi Waldeck | 1:57.38a | George Washington | |
| 11. | - | Makaylle Leonard
Jameria Little
Ebony Matthews
Taeja Rowell | 1:58.90a | South Charleston | |
| 12. | - | Allison Garrett
Samantha Gaten
Devin Randolph
Kaitlyn Gilham | 2:02.09a | Nitro | |
| 13. | - | Andreana Bowman
Shakira Bowman
Sierra Jennings
Rebecca Ransbottom | 2:08.20a | Riverside | |
| 1. | - | Hadassah Lynch
Vanessa Keiser
Ali Feathers
Tessa Sall | 4:09.23a | Parkersburg | |
| 2. | - | Abby Barber
Chloe Barber
Alex Dent
Josie Crouch | 4:10.15a | Hurricane | |
| 3. | - | Elayna Conard
Kinsey Hall
Taylor Riedel
Anna Patrick | 4:24.37a | Cabell Midland | |
| 4. | - | Michaela Keen
Lindsey McClintic
Kayla Yates
Marissa Miluk | 4:25.15a | Greenbrier East | |
| 5. | - | Leah Ching
Maggie Capehart
Sandy Brunette
Emily Hill | 4:30.45a | Huntington | |
| 6. | - | Philipa Haag
Amber Stewart
Lauren Fuller
Amanda Artrip | 4:31.18a | Spring Valley | |
| 7. | - | Brandy Gandee
Jerelyn Rothrock
Parker Winters
Bailey Parsons | 4:31.33a | Ripley | |
| 8. | - | Kayla Callens
Michelle Oye
Melissa Oye
Rachaell Swartz | 4:36.54a | Woodrow Wilson | |
| 9. | - | Anne Preston
Taeja Rowell
Elisa Nobel
Ebony Matthews | 4:40.15a | South Charleston | |
| 10. | - | Sara Hamilton
Emily Brewer
Emma Kaplan
Caroline Walker | 5:01.72a | George Washington | |
| 1. | - | Stephanie Caloz
Brandy Gandee
Cortney Vannatter
Parker Winters | 10:17.78a | Ripley | |
| 2. | - | Sahara Assi
Morgan Miles
Sarah Davis
Emily Cummings | 10:23.87a | Hurricane | |
| 3. | - | Kaylee Williams
Vanessa Keiser
Ali Feathers
Whitnie Pinkston | 10:29.82a | Parkersburg | |
| 4. | - | Alex Ellis
Clara Stephens
Jorden Thornton
Molly Darling | 10:38.24a | Cabell Midland | |
| 5. | - | Sara Hamilton
Zara Riaz
Emma Kaplan
Caroline Walker | 11:19.48a | George Washington | |
| 6. | - | Michaela Keen
Kayla Yates
Ashton Holliday
Emily Clemons | 11:32.46a | Greenbrier East | |
| 1. | - | Morgan Chittum
Courtney Dilcher
Haley Hall
Taylor Riedel | 1:07.21a | Cabell Midland | |
| 2. | - | Olivia Moore
Monique Oye
Logan Parkulo
Aubry Trostle | 1:07.83a | Woodrow Wilson | |
| 3. | - | Tori Wilson
Jessie Mccollum
Cortney Cottrell
Taylor Fordyce | 1:09.30a | Parkersburg | |
| 4. | - | Bailey Rhodes
Jarrett Walker
Victoria Geis
Chelsi Waldeck | 1:09.56a | George Washington | |
| 5. | - | Becca Logan
Jerlissa Sturdavent
Michelle Tompkin
Lakota Jones | 1:10.50a | Hurricane | |
| 6. | - | Ashlee Seldomridge
Kayla Yates
Hope Whitt
Brittany Fisher | 1:12.50a | Greenbrier East | |
| 7. | - | Jessie Boardman
Latrice Thompson
Caroline Bruce
Shea Thompson | 1:15.22a | St Albans | |
| 8. | - | Stephanie Gruber
Jenna Saltsgaver
Caitlin Lokant
Savana Whiting | 1:16.42a | Ripley | |
| 9. | - | Tanija Spencer
Nautica Carter
Tatiyana Woods
Alyssa Rhone | 1:16.77a | Capital | |
| 10. | - | Kayla Chafin
Alexis Macgregor
Jasmine Felder
Kristopher Keith | 1:16.95a | Huntington | |
