| Date | 08 May 04 |
| Grade | 2nd |
| Opponent | Ourimbah |
| Venue | Ourimbah Rugby Park |
| Round | 5 |
| Score | 30 - 6 |
| No# | Pos | Player | T | G | PG | FG | Pts |
|---|---|---|---|---|---|---|---|
| 1 | PR | Mitchell, Angus | |||||
| 2 | HK | Fraser, Bill | |||||
| 2 | HK(sub) | Heaney, Christopher | |||||
| 3 | PR | Hopper, David | |||||
| 3 | PR(sub) | Nash, John | |||||
| 4 | SR | Allen, Michael | |||||
| 4 | SR(sub) | Kane, Peter | |||||
| 5 | SR | Bailey, Paul | |||||
| 6 | BW | Buncher, Dillon | |||||
| 7 | BW | Burns, Lincoln | |||||
| 8 | No#8 | Thomas, Justin | |||||
| 9 | HB | Rankin, Blake | |||||
| 10 | 5/8 | Upcroft, David | |||||
| 11 | WG | Lill, Glenn | |||||
| 12 | IC | Tancred, Murray | |||||
| 13 | OC | Dufty, Brent | |||||
| 14 | WG | McWaide, Trent | 2 | 6 | |||
| 14 | WG(sub) | Sturgess, Ryan | |||||
| 15 | FB | Fortis, Andrew | Totals: | 0 | 0 | 2 | 0 | 6 |