Slavia HK
| 1 | Zadrobílek | |
| 5 | Melichárek F. | |
| 9 | Štipák | 64′ |
| 9 | Melichárek D. | |
| 3 | Holý | |
| 10 | Málek | ↓70′ |
| — | Kalina | ↓70′ |
| 15 | Vošlajer | |
| 20 | Rajnoch | 48′ ↓64′ |
| — | Čihák | 21′ |
| 6 | Tomek | 34′ |
Náhradníci
| 20 | Novák | |
| — | Tomášek | ↑70′ |
| — | Čech | |
| — | Polák | ↑70′ |
| 10 | Kováčik | ↑64′ |
| — | Ježek | |
| — | Čech |
FK Jaroměř
| 27 | Maurits | |
| 4 | Horák | |
| 5 | Podolník | ↓46′ |
| 9 | Bajer | 35′ ↓83′ |
| 11 | Valášek | |
| 20 | Prokš | |
| 13 | Moravčík | 83′ |
| 2 | Hemelík | |
| 6 | Novák | ↓57′ |
| 17 | Pohořálek | 34′ |
| 3 | Častvaj | ↓57′ |
Náhradníci
| 1 | Červenka | |
| 10 | Skalický | ↑46′ |
| 19 | Kudrnáč | |
| 16 | Karel | ↑83′ |
| 22 | Rind | ↑57′ 88′ |
| 7 | Rezek | ↑57′ 90′ |