| Players Borgo | |
|---|---|
 | Lenzi Daniele |
 | Mengarda Marco  37'2.Half |
| | Gaiardo Andrea |
| | Dietre Andrea |
| | Caumo Matteo  |
| | Bernardi Gabriele |
 | Zampiero Claudio |
| | Groff Luca  38'2.Half |
| | Dalsasso Davide |
| | Oberosler Marco |
 | Nervo Oscar 1'2.Half |
| Substitutes | |
| | Osella Paolo  38'2.Half |
| | Gonzo Stefano 1'2.Half 26'2.Half |
| Coach | |
 | Sanzo Patrick |
| Players Levico Terme | |
|---|---|
| | Fontana Elis |
| | Ceccon Patrick |
| | Peruzzi Moreno |
| | Sferrazza Salvatore |
| | Pedrotti Luca 38'2.Half |
| | Meneghini Luca 33'2.Half |
| | Avancini Matteo |
| | Anderle Matteo 23'2.Half |
| | Lomele Luigi 40'1.Half |
| | Codognato Paolo |
| | Filippini Michele |
| Substitutes | |
| | Cetto Ivan 33'2.Half |
| | Arnejo Calviño Diego 38'2.Half |
| | Nicolussi Paolaz Moreno 23'2.Half 50'2.Half |
| Coach | |
| | Libanoro Fabrizio |