There were nine teams with 46 individual participants entered.
West Central was the top team with a 372 score, and Dakota Valley was third, with a 396.
Three teams qualified for the state tournament, which will be held at Madison on Monday and Tuesday, May 21-22.
Vermillion's Anna Isaacson was tied with Abby Freehan of Dell Rapids at 84, but lost in a one-hole playoff to place second in the Region.
The other Tanager members were all in the top 20 for the tournament.