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There’s several schools in the 14th region that doesn’t use NFHS. They use their local streaming. Ours utilizes BluegrassSportsNation (BSN). Knott County uses Hometown24. Perry and and Hazard have their own services. Jackson County in the 13th, and maybe Clay and the Laurel schools use PRTC .

Leslie, Hazard, and Perry all utilize WSGS.

Breathitt, Wolfe and Owsley all use BSN. 

I’m not a big fan of NFHS. Their cameras are wall mounted remotes that don’t always  keep up with the action and some don’t have score or time. The signal comes and go. And most games I’ve watched when I had the service had no broadcasters doing the game. 
I don’t think the KHSAA will ever mandate a particular service that all schools will have to use. They might mandate that all schools use a stream service but one of their choice, but that’s about it.