| Region | Player | School |
| Eastern | Lindsay Thomas | Rocky Mount |
| Kate Gray | Rocky Mount | |
| Danielle Dillane | Eastern Wayne | |
| Warner Underwood | Eastern Wayne | |
| Mallory Short | Wilson Fike | |
| Meredith Pruden | Wilson Fike | |
| Addie Keeter | Rocky Mount | |
| Caroline Nelson | Rocky Mount | |
| Mary-Katherine Prince | Wilson Fike | |
| Summer Phillips | South Brunswick | |
| Randi Price | Northern Nash | |
| Beth Batchelor | Washington | |
| Mideastern | Neena Wanko | Union Pines |
| Tiffany Vanhpraseuth | Ledford | |
| Masey DeMoss | McMichael | |
| Lauren Brooker | Cardinal Gibbons | |
| Caroline Kernodle | Burlington Williams | |
| Helen Powell | Burlington Williams | |
| Melissa Tally | Union Pines | |
| Madison Kramer | Union Pines | |
| Tori Helpingstine | Chapel Hill | |
| Hannah Kimbrough | Chapel Hill | |
| Caroline Smith | Cardinal Gibbons | |
| Cori Krause | Cardinal Gibbons | |
| Midwestern | Ashley Verhein | Charlotte Catholic |
| Alison Bogs | Statesville | |
| Meredith Branham | Weddington | |
| Dominique Lindsey | Charlotte Harding | |
| Mary Kathryn Ferebee | Charlotte Catholic | |
| Kelly Tomlin | Charlotte Catholic | |
| Kindell Schmit | Weddington | |
| Casey Rowe | Weddington | |
| Lucia Leahy | Charlotte Catholic | |
| Meagan Laframboise | Charlotte Catholice | |
| Jasmine Carrothers | Charlotte Harding | |
| JeNay Carrothers | Charlotte Harding | |
| Western | Taylor Baird | South Point |
| Amie Cloer | West Henderson | |
| Mackenzie LaSure | Asheville | |
| Taylor Haynes | Asheville | |
| Aliz Theodossiu | Asheville | |
| Taylor Theodossiu | Asheville | |
| Andrea Bell | Franklin | |
| Savannah Herman | Franklin | |
| Megan Cox | North Buncombe | |
| Emily Litton | North Buncombe | |
| Chelsea Martin | Saint Stephens | |
| Kelli Straka | Saint Stephens | |
NCHSTA 2009 Women's Tennis 3-A All-Region Team