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|Eastern Region Jr A Championship|
|Venue(s)||Amherst Stadium in Amherst, Nova Scotia|
|Champions||Ottawa Jr. Senators|
The 2019 Fred Page Cup was the 25th Canadian eastern junior A ice hockey championship for the Canadian Junior Hockey League. The Amherst Ramblers hosted for the first time in team history. The tournament was held May 1 to May 5 at Amherst Stadium in Amherst, Nova Scotia. The tournament champions qualified for the 2019 National Junior A Hockey Championship, held in Brooks, Alberta, and hosted by the Alberta Junior Hockey League's Brooks Bandits at the Centennial Regional Arena.
- Amherst Ramblers (Host)
- Regular Season: 36-11-1-2 (2nd in MHL South Division)
- Playoffs: Lost to South Shore Lumberjacks 4-3.
- Yarmouth Mariners (MHL champions)
- Regular Season: 36-9-3-2 (1st in MHL South Division)
- Playoffs: Defeated Truro Bearcats 4-0, Defeated South Shore Lumberjacks 4-2, Defeated Campbellton Tigers 4-0 to win the league.
- Ottawa Jr. Senators (CCHL champions)
- Regular Season: 43-16-3 (1st in CCHL Yzerman Division)
- Playoffs: Defeated Kanata Lasers 4-1, Defeated Brockville Braves 4-0, Defeated Carleton Place Canadians 4-1 to win the league.
- Princeville Titans (QJHL champions)
- Regular Season:35-9-2-2 (3rd in QJHL)
- Playoffs: Defeated St-Jérôme Panthers 4-2, Defeated Longueuil Collège Français 4-1, Defeated Terrebonne Cobras 4-1.
Tie Breaker: Head-to-head, then three-way +/-.
Semifinal and finals