| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Terence Lim | Nicholas Hornung |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| Lake Tahoe Grizzlies 12B | 1 | 0 | 1 | 2 |
| San Mateo Black Stars 12B | 1 | 0 | 1 | 2 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| Lake Tahoe Grizzlies 12B | 8 | 5 | 5 | 18 |
| San Mateo Black Stars 12B | 13 | 12 | 12 | 37 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 14:27 | San Mateo Black Stars 12B | Holden L Weisman | Michael A Bourque | Stefan F Couloures |
| 1 | 3:42 | Lake Tahoe Grizzlies 12B | Caleb D Anson | Max I Bassett | |
| 3 | 13:50 | Lake Tahoe Grizzlies 12B | Mary J Plastino | Logan R Robertson | |
| 3 | 13:06 | San Mateo Black Stars 12B | Michael A Bourque |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 2 | 9:16 | San Mateo Black Stars 12B | Stefan Couloures | Tripping | 2 |
| 2 | 55.8 | San Mateo Black Stars 12B | Stefan Couloures | Tripping | 2 |
| 3 | 2:02 | Lake Tahoe Grizzlies 12B | Max Bassett | Tripping | 2 |
| 80 | Kellan R Allen |
| AC | Jeremy S Wright |
| 3 | Ryland S Wright |
| AC | Daniel T Robertson |
| 25 | Logan R Robertson |
| 87 | Lincoln R Alford |
| 32 | Oliver G Owens (G) |
| 5 | Carson V Bassett |
| 14 | Max I Bassett |
| AC | Todd C Bassett |
| HC | Chad D Anson |
| 96 | Caleb D Anson |
| 77 | Sydney J Henning |
| 27 | Samson Snow |
| 30 | Bryce B Tieslau |
| 48 | Joseph T Zarnecki |
| 50 | Mary J Plastino |
| 17 | Fox A Dial |
| 45 | Ronald J Scheuring |
Game Number: 20077