| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Richard Taylor |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| Tri Valley Blue Devils 14B-1 | 3 | 0 | 3 | 6 |
| Lake Tahoe Grizzlies 14-1 | 1 | 0 | 1 | 2 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| Tri Valley Blue Devils 14B-1 | 6 | 6 | 6 | 18 |
| Lake Tahoe Grizzlies 14-1 | 9 | 5 | 11 | 25 |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 1 | 2:19 | Lake Tahoe Grizzlies 14-1 | Travis Wood | Holding | 2 |
| 1 | 00.0 | Tri Valley Blue Devils 14B-1 | Gregory Christy | Interference | 2 |
| 2 | 11:30 | Tri Valley Blue Devils 14B-1 | Joshua Demillo | Interference | 2 |
| 3 | 4:04 | Lake Tahoe Grizzlies 14-1 | John Gist | Charging | 2 |
| 3 | 4:04 | Lake Tahoe Grizzlies 14-1 | John Gist | Charging (Misc) | 10 |
| 3 | 2:49 | Lake Tahoe Grizzlies 14-1 | Travis Wood | Holding | 2 |
| 3 | 1:09 | Tri Valley Blue Devils 14B-1 | Gregory Christy | Interference | 2 |
| AC | Matthew H Schwartz |
| 23 | Bryant J Shannon |
| 95 | Matthew Williams |
| 10 | Jennifer S An |
| 30 | Noah B Smith (G) |
| 60 | Derek M Braaten |
| 25 | Carter J Thoms |
| AC | Roland J Thoms |
| AC | Shawn C Stewart |
| HC | Randall L Stewart |
| 48 | Gregory C Christy |
| AC | Dan Dilger |
| 28 | Dylan P Dilger |
| 13 | Devin M Cox |
| 21 | Aidan F Simpson |
| 09 | Peyton J Wisch |
| 34 | Matthew C Immesoete |
| 38 | Trevor W Moreau |
| 84 | Julian F Sardilli |
| 33 | Joshua C Demillo |
| 17 | Mickey R Sullivan |
| AC | Steven B Cruz |
| 2 | Nicholas S Cruz |
| 66 | Nolan T Olson |
| 99 | Erik K Jacobson |
| AC | Robert L Wood |
| 71 | Travis B Wood |
| 04 | Alexander L Low |
| 38 | Axel C Sorensen |
| 12 | Leah A Marino |
| HC | James A Marino |
| 24 | Nicholas G Ilvento (G) |
| 50 | John C Gist |
| 7 | Edward J Parkhill |
| 6 | Jakob W Degregory |
| 52 | Joseph T Cookson |
Game Number: 5012