Nr | Drużyna | Nr | Lic. | Kat. | Nazwisko Imię | Rank. |
| 1 | SGU Czarni Oleszyce | | | | | |
| | 1 | 1464/2014 | | Błaż, Jagoda | 0 |
| | 2 | 1818/2016 | | Dobosz, Natalia | 0 |
| 2 | UKS Struga Marki | | | | | |
| | 1 | 1034/2010 | III | Moczulska, Ludwika | 0 |
| | 2 | 1414/2013 | III | Adamczyk, Klaudia | 0 |
| 3 | UKS Roszada Lipno 2 | | | | | |
| | 1 | 1319/2013 | III | Walkowska, Aleksandra | A 1966 |
| | 2 | 1359/2013 | III | Ruta, Zuzanna | A 1988 |
| 4 | UKS Roszada Lipno 1 | | | | | |
| | 1 | 1053/2010 | III | Lipka, Martyna | A 1985 |
| | 2 | 1244/2012 | III | Ruta, Marta | A 1965 |
| 5 | UKS Roszada Lipno 3 | | | | | |
| | 1 | 1054/2010 | IV | Raburska, Jagoda | B 1903 |
| | 2 | 1367/2013 | III | Grzesiak, Wiktoria | B 1956 |
|