| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| George Kiessling | Tim Lyon |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| San Mateo Black Stars 12B | 1 | 0 | 0 | 1 |
| Lake Tahoe Grizzlies 12B | 0 | 0 | 0 | 0 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| San Mateo Black Stars 12B | 3 | 12 | 4 | 19 |
| Lake Tahoe Grizzlies 12B | 11 | 16 | 17 | 44 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 14:41 | San Mateo Black Stars 12B | Remy L Cohn-aronoff | Jesse W Ulate |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 1 | 6:16 | Lake Tahoe Grizzlies 12B | Unknown | Too Many Men | 2 |
| 1 | 3:34 | Lake Tahoe Grizzlies 12B | Ronald Scheuring | Interference | 2 |
| 1 | 39.9 | San Mateo Black Stars 12B | William Stevenson | High-Sticking | 2 |
| 2 | 12:22 | Lake Tahoe Grizzlies 12B | Max Bassett | Interference | 2 |
| 2 | 1:24 | San Mateo Black Stars 12B | Noah Levesque | Slashing | 2 |
| 3 | 4:37 | Lake Tahoe Grizzlies 12B | Max Bassett | Slashing | 2 |
| 14 | Kiera Chiu |
| 39 | Holden L Weisman |
| 31 | Francisco L Chan (G) |
| 42 | Mattias K Ward |
| 16 | Liam S Niu |
| 3 | Noah R Levesque |
| 84 | Charles H Weber |
| 98 | Anthony M Nieves |
| 10 | Jesse W Ulate |
| AC | Rick Ulate |
| 25 | Emmett T Coombs |
| HC | Michael I Coombs |
| 59 | Remy L Cohn-aronoff |
| 32 | Arthur T Parabaniuk |
| AC | Walter Parabaniuk |
| 15 | William S Stevenson |
| 2 | Olivier J Yuk |
| 88 | Justin G Henry |
| 80 | Kellan R Allen |
| AC | Jeremy S Wright |
| 3 | Ryland S Wright |
| AC | Daniel T Robertson |
| 25 | Logan R Robertson |
| 18 | Lincoln R Alford |
| 13 | Oliver G Owens (G) |
| 5 | Carson V Bassett |
| 14 | Max I Bassett |
| HC | Chad D Anson |
| 92 | Caleb D Anson |
| 77 | Sydney J Henning |
| 27 | Samson Snow |
| 30 | Bryce B Tieslau |
| 48 | Joseph T Zarnecki |
| 17 | Fox A Dial |
| 45 | Ronald J Scheuring |
Game Number: 19912