Nr | Drużyna | Nr | Code | Lic. | Nazwisko Imię | FMJD (K) | Rank. | Data ur. |
| 1 | UKS Roszada Lipno | | | | | | | |
| | 1 | 17530 | 1053/2010 | Lipka, Martyna | 0 | A 2002 | 2002-09-24 |
| | 2 | 18308 | 1244/2012 | Ruta, Marta | 0 | A 2004 | 2002-08-03 |
| 2 | UKS Struga Marki | | | | | | | |
| | 1 | 17248 | 0705/2008 | Bańkowska, Marta | 0 | A 2141 | 2000-12-02 |
| | 2 | 17532 | 1034/2010 | Moczulska, Ludwika | B 1915 | A 2023 | 2002-07-16 |
| 3 | LKS Unia Horyniec-Zdrój | | | | | | | |
| | 1 | 17526 | 0716/2008 | Zaborniak, Klaudia | 0 | A 2034 | 2001-08-03 |
| | 2 | 17524 | 0880/2009 | Żuk, Angelika | 0 | A 1961 | 2001-03-18 |
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