| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Terence Lim |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| Lake Tahoe Grizzlies 12B | 0 | 1 | 0 | 1 |
| San Jose Jr Sharks 12A-1 | 1 | 5 | 0 | 6 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| Lake Tahoe Grizzlies 12B | 6 | 8 | 3 | 17 |
| San Jose Jr Sharks 12A-1 | 5 | 14 | 6 | 25 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 6:37 | San Jose Jr Sharks 12A-1 | Dominic K Powell | Luke N Gardner | Robert F Provost |
| 2 | 14:12 | San Jose Jr Sharks 12A-1 | Carl I Lichy | ||
| 2 | 10:10 | San Jose Jr Sharks 12A-1 | Jacob Leigh | Lev E Miller | William H Wadlington |
| 2 | 9:25 | San Jose Jr Sharks 12A-1 | Dominic K Powell | ||
| 2 | 6:16 | Lake Tahoe Grizzlies 12B | Caleb D Anson | Lincoln R Alford | |
| 2 | 3:59 | San Jose Jr Sharks 12A-1 | Marcus V Vonklemperer | William H Wadlington | |
| 2 | 1:19 | San Jose Jr Sharks 12A-1 | William H Wadlington | Jacob Leigh |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 1 | 14:15 | San Jose Jr Sharks 12A-1 | Luke Gardner | Tripping | 2 |
| 2 | 5:25 | Lake Tahoe Grizzlies 12B | Joseph Zarnecki | Hooking | 2 |
| 2 | 1:48 | Lake Tahoe Grizzlies 12B | Ryland Wright | Interference | 2 |
| 2 | 20.5 | San Jose Jr Sharks 12A-1 | Robert Provost | Elbowing | 2 |
| 3 | 3:22 | San Jose Jr Sharks 12A-1 | Carl Lichy | Interference | 2 |
| 3 | 00.0 | San Jose Jr Sharks 12A-1 | Dominic Powell | Head Contact | 2 |
| 3 | 00.0 | San Jose Jr Sharks 12A-1 | Dominic Powell | Head Contact | 10 |
| 80 | Kellan R Allen |
| AC | Jeremy S Wright |
| 3 | Ryland S Wright |
| AC | Daniel T Robertson |
| 25 | Logan R Robertson |
| 30 | Lincoln R Alford |
| 32 | Oliver G Owens (G) |
| 5 | Carson V Bassett |
| 14 | Max I Bassett (G) |
| AC | Todd C Bassett |
| HC | Chad D Anson |
| 96 | Caleb D Anson |
| 77 | Sydney J Henning |
| 27 | Samson Snow |
| 48 | Joseph T Zarnecki |
| 11 | Kiarra M Prochazka |
| 17 | Fox A Dial |
| 45 | Ronald J Scheuring |
| 43 | Lev E Miller |
| AC | Reese M Busch |
| AC | Arthur E Clark |
| 6 | Luke N Gardner |
| 80 | Dominic K Powell |
| 8 | Justin R Saban |
| HC | Scott W Podlesh |
| 57 | Ezra Greenwood |
| SC | Jared R Lebovitz |
| 19 | Timothy Setrakyan |
| 14 | William J Hagan |
| 88 | Robert F Provost |
| 39 | Jacob M Cuascut |
| 45 | Colt F Saletta |
| 90 | William H Wadlington |
| 94 | Carl I Lichy |
| 77 | Massimo Mazumder |
| 70 | Zachary G Stahl (G) |
| 86 | Jacob Leigh |
| 16 | Marcus V Vonklemperer |
| 38 | Eric J Larkins (G) |
Game Number: 22702