| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Mark Hartley |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| San Mateo Black Stars 12B | 1 | 2 | 0 | 3 |
| Lake Tahoe Grizzlies 12B | 2 | 1 | 0 | 3 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| San Mateo Black Stars 12B | 16 | 22 | 8 | 46 |
| Lake Tahoe Grizzlies 12B | 2 | 3 | 0 | 5 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 13:02 | Lake Tahoe Grizzlies 12B | Mary J Plastino | Ronald J Scheuring | |
| 1 | 4:27 | San Mateo Black Stars 12B | Keoki H Firenze | Andrew N Regan | |
| 1 | 1:18 | Lake Tahoe Grizzlies 12B | Lincoln R Alford | ||
| 2 | 12:42 | San Mateo Black Stars 12B | Andrew N Regan | Mikala C Gould | |
| 2 | 9:08 | Lake Tahoe Grizzlies 12B | Logan R Robertson | Caleb D Anson | |
| 2 | 8:48 | San Mateo Black Stars 12B | Andrew N Regan | Jack M Way | Arthur T Parabaniuk |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 1 | 2:03 | San Mateo Black Stars 12B | Yeray Amezcua | Roughing | 2 |
| 1 | 1:00 | San Mateo Black Stars 12B | Kobe Himmelfarb | Slashing | 2 |
| 2 | 13:57 | Lake Tahoe Grizzlies 12B | Ronald Scheuring | Holding | 2 |
| 2 | 12:42 | Lake Tahoe Grizzlies 12B | Max Bassett | Slashing | 2 |
| 2 | 7:07 | San Mateo Black Stars 12B | Yeray Amezcua | Head Contact | 2 |
| 2 | 7:07 | San Mateo Black Stars 12B | Yeray Amezcua | Head Contact | 10 |
| 2 | 5:06 | San Mateo Black Stars 12B | Keoki Firenze | Elbowing | 2 |
| 2 | 3:08 | Lake Tahoe Grizzlies 12B | Lincoln Alford | Tripping | 2 |
| 2 | 32.2 | San Mateo Black Stars 12B | Robert Provost | Body Check | 2 |
| 25 | Logan R Robertson |
| 18 | Lincoln R Alford |
| 13 | Oliver G Owens (G) |
| 14 | Max I Bassett |
| AC | Todd C Bassett |
| AC | Chad D Anson |
| 92 | Caleb D Anson |
| 27 | Samson Snow |
| 30 | Bryce B Tieslau |
| 48 | Joseph T Zarnecki |
| HC | Christopher W Remsburg |
| 8 | Mary J Plastino |
| 24 | Logan R Devos |
| 45 | Ronald J Scheuring |
Game Number: 17037