| Home: Crown City Royals |
Away: Captains |
| 4 | J. Bareng | | 6 | D. Pacifico | | 9 | S. DuBois | | 10 | G. Medina | | 15 | M. Gallagher | | 16 | J. DuBois | | 21 | J. Ho | | 38 | P. Pulido | | 55 | A. Lucero | | 99 | J. Bareng |
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| 2 | R. Nakasone | | 3 | J. Chao | | 6 | M. Marquez | | 12 | T. Thalmann | | 18 | S. Sunada | | 19 | W. Long | | 21 | A. Yokoyama | | 27 | K. Park | | 29 | C. Perez | | 30 | R. Ouye | | 33 | T. Perez | | 40 | J. Shepherd | | 91 | C. Lachel | | 99 | J. Bening | | 99 | S. Plunkett |
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| 1 | 14:27 | 40 | 91 | | | | | | | 1 | 05:28 | 12 | 18 | | | | | | | 1 | 01:21 | 91 | 33 | | | | | | | 3 | 15:28 | 2 | 33 | | | | | | | 3 | 03:22 | 2 | 40 | | | | | |
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| 1 | Hooking | 3 | #16 - J. DuBois | 18:37 | | | | 2 | Slashing | 3 | #9 - S. DuBois | 14:36 | | | | 2 | Hooking | 3 | #4 - J. Bareng | 11:33 | | |
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| 2 | Roughing | 3 | #2 - R. Nakasone | 14:38 | | |
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| Scorekeeper | |
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| Referee | Shawn Eddie |
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| Referee | David Kim |
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