| Date | 03 Jul 04 |
| Grade | 3rd |
| Opponent | Terrigal |
| Venue | Heazlett Park |
| Round | 12 |
| Score | 12 - 7 |
| No# | Pos | Player | T | G | PG | FG | Pts |
|---|---|---|---|---|---|---|---|
| 1 | PR | Easey, John | 1 | 2 | |||
| 2 | HK(sub) | Craig, Christopher | |||||
| 2 | HK | Heaney, Christopher | |||||
| 3 | PR | Nash, John | |||||
| 4 | SR | Anderson, Matthew | |||||
| 5 | SR | White, Evan | |||||
| 6 | BW | Phipps, Jeffery | 1 | 5 | |||
| 6 | BW(sub) | Rowley, Zac | |||||
| 7 | BW | Ferrier, Paul | |||||
| 8 | No#8 | Pashley, Jason | |||||
| 9 | HB | Dunn, Scott | |||||
| 10 | 5/8 | Barr, Greg | |||||
| 11 | WG | Pearson, Ben | |||||
| 11 | WG(sub) | Stewart, Cameron | |||||
| 12 | IC | Bardsley, Shane | |||||
| 13 | OC | Norbury, Pablo | |||||
| 14 | WG | Lill, Glenn | 1 | 5 | |||
| 15 | FB(sub) | McWaide, Trent | |||||
| 15 | FB | Willmott, Mal | Totals: | 2 | 1 | 0 | 0 | 12 |