| 1. | 4. | 3. | 5. | 1. | Charleston (W.V.) | West Virginia Wesleyan | Concord | West Liberty | West Liberty | Jamaicia James, Tanajah Grant, Tricht Jocelyn, Eve Hine | Anna Massa, Grace Burgess, Caroline Fodor, Ashley McIntosh | Jamaicia James, Tanajah Grant, Tricht Jocelyn, Eve Hine | Zayne Brakeall, Mckenzie Jack, Joralda Rice, Makayla Rollince | Zayne Brakeall, Mckenzie Jack, Joralda Rice, Makayla Rollince | 16:03:59.44 | 4:07.6170 | 16:03:59.44 | 14:04:09.6836 | DQ | 510 | 49850 | 510 | 0369 | 14 |
| 2. | 5. | | | 1. | Concord | West Virginia Wesleyan | West Liberty | Concord | Wheeling Jesuit | Taylor Hamm, Emilee Henry, Jada Strachan, Josea Smith | Taylor Hamm, Emilee Henry, Jada Strachan, Josea Smith | Jamaicia James, Tanajah Grant, Tricht Jocelyn, Eve Hine | Caylee Painter, Lauren Leaman, Rachael Englund, Natalie Wiethe | Jamaicia James, Tanajah Grant, Tricht Jocelyn, Eve Hine | 4:00.112 | 4:07.6170 | 4:07.6170 | 4:07.6170 | 4:07.6170 | 49850 | 510 | 49850 | 510 | 14 |
| 3. | 4. | 2. | | | Wheeling Jesuit | Glenville St. | West Virginia Wesleyan | West Virginia Wesleyan | Glenville St. | Anna Massa, Grace Burgess, Caroline Fodor, Ashley McIntosh | Anna Massa, Grace Burgess, Caroline Fodor, Ashley McIntosh | Caylee Painter, Lauren Leaman, Rachael Englund, Natalie Wiethe | Victoria Lewis, Heaven Maeshack, Alyssa Woods, Macey Nuzum | Victoria Lewis, Heaven Maeshack, Alyssa Woods, Macey Nuzum | 4:07.6170 | 4:07.6170 | 4:07.6170 | 14:04:09.6836 | 14:04:09.6836 | 0369 | 14 | 14 | 510 | 510 |
| 4. | 1. | 5. | 3. | 3. | West Virginia Wesleyan | Concord | West Liberty | West Liberty | West Liberty | Caylee Painter, Lauren Leaman, Rachael Englund, Natalie Wiethe | Victoria Lewis, Heaven Maeshack, Alyssa Woods, Macey Nuzum | Anna Massa, Grace Burgess, Caroline Fodor, Ashley McIntosh | Caylee Painter, Lauren Leaman, Rachael Englund, Natalie Wiethe | Taylor Hamm, Emilee Henry, Jada Strachan, Josea Smith | 14:04:09.6836 | 4:07.6170 | 14:04:09.6836 | 4:07.6170 | 4:07.6170 | 785 | 785 | 14 | 510 | 510 |
| 5. | 1. | 4. | 3. | | West Liberty | Concord | Charleston (W.V.) | Glenville St. | Glenville St. | Zayne Brakeall, Mckenzie Jack, Joralda Rice, Makayla Rollince | Zayne Brakeall, Mckenzie Jack, Joralda Rice, Makayla Rollince | Anna Massa, Grace Burgess, Caroline Fodor, Ashley McIntosh | Caylee Painter, Lauren Leaman, Rachael Englund, Natalie Wiethe | Zayne Brakeall, Mckenzie Jack, Joralda Rice, Makayla Rollince | 29:04:31.9472 | DQ | 16:03:59.44 | 4:07.6170 | 16:03:59.44 | 14 | 49850 | 510 | 49850 | 0369 |
| | 1. | 5. | 5. | 2. | Glenville St. | West Liberty | West Liberty | West Virginia Wesleyan | Wheeling Jesuit | Victoria Lewis, Heaven Maeshack, Alyssa Woods, Macey Nuzum | Zayne Brakeall, Mckenzie Jack, Joralda Rice, Makayla Rollince | Zayne Brakeall, Mckenzie Jack, Joralda Rice, Makayla Rollince | Jamaicia James, Tanajah Grant, Tricht Jocelyn, Eve Hine | Jamaicia James, Tanajah Grant, Tricht Jocelyn, Eve Hine | DQ | 16:03:59.44 | 14:04:09.6836 | 4:07.6170 | 4:07.6170 | - | 785 | 785 | 0369 | 0369 |
