The conference offers championships for girls in Basketball, Cross Country, Golf, Soccer, Softball, Swimming & Diving, Tennis, Track & Field, Volleyball, and Wrestling.
In boys sports, the conference offers championships in Baseball, Basketball, Cross Country, Football, Golf, Soccer, Swimming & Diving, Tennis, Track & Field, and Wrestling.
November 5, 2019, it was announced that Bolivar's football program would enter the Ozark Conference in 2020, replacing Central.
Bolivar will be a "football only" school in the OC and their other sports programs will remain independent.
**Central High School (Springfield, Mo) plays football as an Independent as of 2020.