Nr | Drużyna | Rank. | Nr | Code | Tyt. | Nazwisko Imię | Fed. | FMJD | Rank. | Data ur. |
| 1 | MKSW Pat Miejska Górka | 0 | | | | | | | | |
| | | 1 | 0 | III | Kaczmarek, Kacper | POL | 0 | B 1926 | 2000-07-12 |
| | | 2 | | IV | Niwczyk, Szymon | POL | 0 | B 1878 | 2001-07-18 |
| | | 3 | 19482 | IV | Młoda, Joanna | POL | 0 | B 1923 | 2000-08-02 |
| | | 4 | | V | Szymkowiak, Eryk | POL | 0 | 0 | 2002-07-02 |
| 2 | UKS Roszada Lipno | 0 | | | | | | | | |
| | | 1 | | II+ | Rosiński, Marcin | POL | 0 | A 2100 | 1994-08-19 |
| | | 2 | | II | Rosiński, Paweł | POL | 0 | A 2153 | 1996-06-02 |
| | | 3 | | III | Franek, Dawid | POL | 0 | A 1900 | 2000-09-25 |
| | | 4 | | IV | Urbańczyk, Tomasz | POL | 0 | B 2035 | 2002-10-16 |
| 3 | LWKS Złote Piony Bielawa | 0 | | | | | | | | |
| | | 1 | | V | Bacia, Damian | POL | 0 | 0 | 2001-04-11 |
| | | 2 | | IV | Jurcewicz, Tomasz | POL | 0 | 0 | 2002-09-19 |
| | | 3 | | IV | Barabasz, Marek | POL | 0 | 0 | 2003-10-17 |
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