Nr | Drużyna | Nr | Lic. | Tyt. | Nazwisko Imię | Rank. | Data ur. |
| 1 | LKS Unia Horyniec-Zdrój | | | | | | |
| | 1 | 2010/2017 | I+ | PAPIERNICKI, Jakub | A 2160 | 2009-06-29 |
| | 2 | 2472/2021 | III | LUDWIK, Miłosz | A 1912 | 2014-03-03 |
| | 3 | 2772/2023 | III | CZECHOWICZ, Karol | B 1933 | 2011-12-30 |
| | 4 | | | LUDWIK, Wiktor | 0 | 2010-10-17 |
| 2 | UKS Roszada Lipno | | | | | | |
| | 1 | 2364/2020 | I+ | DELALICZ, De Laval Krzysztof | A 2116 | 2011-06-27 |
| | 2 | 1907/2016 | II+ | GOTOWSKI, Dawid | A 2067 | 2011-06-24 |
| | 3 | 2755/2023 | I | HADOMSKAYA, Elżbieta | A 2045 | 2011-08-25 |
| 3 | MUKS Libero Basznia Dolna | | | | | | |
| | 1 | 2036/2017 | I | HANASIEWICZ, Mateusz | A 2132 | 2009-03-30 |
| | 2 | 2038/2017 | II | MŁODOWIEC, Sebastian | A 1936 | 2009-06-08 |
| | 3 | 2312/2019 | II+ | DENEKA, Adam | A 2052 | 2011-06-27 |
|