| Home: Black III |
Away: Orange III |
| 1 | J. Freedman | | 2 | M. Gifford | | 3 | J. Pike | | 4 | V. Ruiz | | 5 | A. Griffiths | | 8 | K. Gallagher | | 9 | Z. Gross | | 11 | D. Jin | | 12 | A. Helmbock | | 15 | V. Raskovsky | | 17 | J. Anderson | | 18 | M. Goh | | 21 | T. Smith |
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| 2 | A. Kmiec | | 3 | S. Timsit | | 4 | W. Han | | 5 | L. Johnson | | 6 | E. Williams | | 8 | S. Weinberg | | 11 | L. Zide | | 12 | M. Carpenter | | 13 | N. Carpenter | | 14 | P. Chriqui | | 15 | B. Zamora | | 16 | S. Gehry | | 17 | A. Gehry | | 18 | P. MacDonald | | 32 | B. Gilton |
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| 1 | 10:48 | 2 | 5 | 18 | x | | | | | 1 | 02:48 | 13 | | | x | | | | | 2 | 09:33 | 5 | 6 | 2 | | | | | | 3 | 04:10 | 4 | 6 | | | | | |
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| 1 | Hooking | 3 | #3 - J. Pike | 12:16 | | | | 1 | Interference | 3 | #2 - M. Gifford | 04:31 | | | | 2 | Tripping | 3 | #21 - T. Smith | 02:53 | | | | 3 | Roughing | 2 | #5 - A. Griffiths | 09:08 | | | | 3 | Tripping | 2 | #18 - M. Goh | 04:03 | | |
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| 1 | Tripping | 3 | #3 - S. Timsit | 19:26 | | | | 1 | Highsticking | 3 | #18 - P. MacDonald | 16:45 | | | | 1 | Interference | 3 | #32 - B. Gilton | 09:30 | | | | 3 | Roughing | 2 | #6 - E. Williams | 09:08 | | |
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| Scorekeeper | |
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| Referee | Michael Black |
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| Referee | Arthur Adzhemyan |
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