| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Bill Whitmore | Mark Espinosa | Jeffrey Hunter |
| 1 | 2 | 3 | SO | Final | |
|---|---|---|---|---|---|
| Black | 2 | 1 | 2 | 0 | 5 |
| Teal | 2 | 1 | 2 | 1 | 6 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| Black | 2 | 1 | 2 | 5 |
| Teal | 2 | 1 | 2 | 5 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 13:15 | Teal | David Nyberg | ||
| 1 | 6:43 | Black | David Voorheees | ||
| 1 | 1:53 | Black | Chester Lech | Chris Cheng | |
| 1 | 1:11 | Teal | Joseph Jellen | Tiffany Nyberg | Jeff Miller |
| 2 | 13:52 | Black | Chester Lech | Chris Cheng | |
| 2 | 12:08 | Teal | Joseph Jellen | ||
| 3 | 18:59 | Black | Douglas Grahame | Chris Cheng | |
| 3 | 17:30 | Teal | Tom Holden | Joseph Jellen | |
| 3 | 9:16 | Teal | Joseph Jellen | Tom Holden | |
| 3 | 38.1 | Black | Frank Herrera | Kevin P Breitling |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 3 | 16:17 | Black | Chester Lech | Tripping | 3 |
| Team | Shooter | Goalie | Result |
|---|---|---|---|
| Black | Douglas Grahame | Jean-paul Bourget | Missed |
| Teal | Jeff Miller | Jennifer Glass | Scored |
| Black | Robert Mattson | Jean-paul Bourget | Missed |
| Teal | Tiffany Nyberg | Jennifer Glass | Missed |
| Black | David Voorheees | Jean-paul Bourget | Missed |
| 8 | Tom Holden |
| 2 | Jeff Miller |
| 4 | Francis Vo |
| 18 | Randal H Chen |
| 73 | Jean-paul Bourget (G) |
| 9 | David Nyberg |
| 6 | Tiffany Nyberg |
| 5 | Scott D Shepard |
| 16 | Justin Bogner |
| 12 | Steve Goettelmann |
| 15 | Joseph Jellen |
| 16 | Daniel Han |
Game Number: 410190