| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Robert Wambaugh |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| San Mateo Black Stars 12B | 1 | 0 | 0 | 1 |
| Lake Tahoe Grizzlies | 3 | 5 | 1 | 9 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| San Mateo Black Stars 12B | 1 | 1 | 1 | 3 |
| Lake Tahoe Grizzlies | 17 | 13 | 10 | 40 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 10:39 | Lake Tahoe Grizzlies | Will F Rich | Jonathan R Yarbrough | |
| 1 | 7:47 | Lake Tahoe Grizzlies | Jonathan R Yarbrough | ||
| 1 | 3:38 | San Mateo Black Stars 12B | Joshua H Swire | ||
| 1 | 1:48 | Lake Tahoe Grizzlies | Jonathan R Yarbrough | Cayden D Houck | Henry M Craig |
| 2 | 11:22 | Lake Tahoe Grizzlies | Jonathan R Yarbrough | Cayden D Houck | |
| 2 | 9:19 | Lake Tahoe Grizzlies | Harrison Knutson | Andrew F Craig | |
| 2 | 7:12 | Lake Tahoe Grizzlies | Carver W Alford | ||
| 2 | 6:28 | Lake Tahoe Grizzlies | Andrew F Craig | Spencer E Crow | Harrison Knutson |
| 2 | 4:31 | Lake Tahoe Grizzlies | Kaden J Winter | Will F Rich | |
| 3 | 12:26 | Lake Tahoe Grizzlies | Perry W Jacobs |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 1 | 7:02 | San Mateo Black Stars 12B | Svante Aretun | Checking from Behind | 2 |
| 1 | 7:02 | San Mateo Black Stars 12B | Svante Aretun | CFB Misconduct | 10 |
| 2 | 12:45 | San Mateo Black Stars 12B | Colin Johnson | Slashing | 2 |
| 2 | 7:24 | San Mateo Black Stars 12B | Luca Tartaglia | Body Check | 2 |
| 3 | 14:10 | Lake Tahoe Grizzlies | Todd Hilton | Cross-Checking | 2 |
| 3 | 13:25 | Lake Tahoe Grizzlies | Jonathan Yarbrough | Slashing | 2 |
| 3 | 6:42 | San Mateo Black Stars 12B | Joshua Swire | Boarding | 2 |
| 3 | 6:42 | San Mateo Black Stars 12B | Joshua Swire | Boarding (Misc) | 10 |
| 3 | 2:45 | Lake Tahoe Grizzlies | Carver Alford | Boarding | 2 |
| 40 | Colin D Johnson |
| HC | Gabriel C Brown |
| 9 | Luca A Tartaglia |
| AC | Marc Tartaglia |
| 39 | Dean L Pollard |
| 26 | Brevin L Master |
| AC | Themistocles Assimes |
| 52 | Leonidas Assimes (G) |
| 7 | Logan M Coit |
| 21 | Benjamin Pegg |
| 92 | Svante Aretun |
| 34 | Owen S Pence |
| 76 | Joshua H Swire |
| 28 | Kody C Cochran |
| AC | Shawn M Tienken |
| 11 | Owen R Tienken |
| 45 | Luke M Saletta |
| 65 | Alexander C Kvitka |
| 16 | Sean Bratton |
| 13 | Will F Rich |
| 32 | Dylan T Evans |
| 54 | Christopher J Allen |
| AC | Richard Winter |
| 68 | Kaden J Winter |
| 50 | Perry W Jacobs |
| 18 | Carver W Alford |
| 21 | Harrison Knutson |
| HC | Harry L Knutson |
| 23 | Spencer E Crow |
| 5 | Jonathan R Yarbrough |
| 11 | Andrew F Craig |
| 14 | Henry M Craig (G) |
| AC | Thomas C Houck |
| 33 | Cayden D Houck |
| AC | Ed Mcclain |
| 10 | Kai E Mcclain |
| 84 | Todd E Hilton |
Game Number: 11515