Nr | Drużyna | Nr | Code | Tyt. | Nazwisko Imię | Fed. | FMJD | Rank. | Data ur. |
| 1 | LZS Kuźnica Żelichowska | | | | | | | | |
| | 1 | 20181 | V | Przyłoga, Seweryn | POL | 0 | 0 | 2005-09-29 |
| | 2 | 22256 | V | Bury, Sebastian | POL | A 1900 | 0 | 2005-07-18 |
| | 3 | 20215 | | Boharewicz, Mateusz | POL | A 1900 | N 1787 | 2003-09-27 |
| 2 | UKS Roszada Lipno | | | | | | | | |
| | 1 | 17478 | I++ | Myszuk, Tymoteusz | POL | A 2030 | A 2240 | 2004-05-17 |
| | 2 | 18888 | I | Walkowska, Aleksandra | POL | A 1916 | A 1999 | 2004-06-22 |
| | 3 | 19434 | III | Matysiak, Mateusz | POL | A 1850 | A 1964 | 2005-06-29 |
| 3 | LKS Unia Horyniec-Zdrój | | | | | | | | |
| | 1 | 17485 | III | Krzyśkowski, Paweł | POL | A 1900 | N 2003 | 2003-11-17 |
| | 2 | 18310 | II | Hulak, Konstancja | POL | A 1909 | N 1931 | 2003-03-01 |
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