Nr | Drużyna | Rank. | Nr | Code | Tyt. | Nazwisko Imię | FMJD | Rank. | Data ur. |
1 | LKS Grom Złota Dama Poczesna | 1914 | | | | | | | |
| | | 1* | 15563 | II | Glin, Daniel | A 1922 | A 2069 | 1996-03-05 |
| | | 2* | 17220 | IV | Polinceusz, Szymon | 0 | B 1921 | 2001-09-25 |
| | | 3* | 14127 | II | Pyrcz, Monika | A 1900 | A 2075 | 1995-02-07 |
2 | UKS LOKATOR Gniezno | 1925 | | | | | | | |
| | | 1* | 14984 | I | Piątek, Mateusz | A 1996 | A 2197 | 1993-06-08 |
| | | 2* | 17487 | II+ | Rak, Bartosz | A 1904 | A 2004 | 1998-04-14 |
| | | 3* | 16383 | I | Szturomska, Aleksandra | 0 | A 1875 | 1998-07-10 |
3 | LZS ZEFIR Janikowo | 1939 | | | | | | | |
| | | 1* | 16777 | II+ | Dernoga, Marcin | A 1940 | A 2112 | 1994-09-15 |
| | | 2* | 16051 | II | Kortas, Krzysztof | A 1976 | A 2041 | 1996-05-11 |
| | | 3* | 17268 | I | Chrząszcz, Patrycja | A 1900 | A 1988 | 1995-02-04 |
4 | UKS SW Jeziorany | 1953 | | | | | | | |
| | | 1* | 14121 | II | Morzy, Szymon | A 1910 | A 2061 | 1995-09-26 |
| | | 2* | 14124 | I++ | Daliga, Władysław | A 2050 | A 2204 | 1993-06-23 |
| | | 3* | 16322 | II | Suchocka, Zuzanna | A 1900 | A 1898 | 1998-02-25 |
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