| Number | Athlete Information |
|---|---|
| 1. | #8851 - KEIKO EMILY SUTANTO , XIN ZHONG & RONNY WUSHU ( SANTA LORENT, SURABAYA ) |
| 2. | #8431 - BINTANG BERLIAN MULYA BUDI , ENG AN KIONG WUSHU ( SMP GRACIA NUSANTARA MALANG ) |
| 3. | #8895 - MARIA CUSTODIA KEN WIDIARINI , WUSHU LIMA BENUA MALANG ( SMPK SANTA MARIA 2, MALANG ) |
| 4. | #8822 - CATHLEEN TANNER , XIN ZHONG & RONNY WUSHU ( XIN ZHONG SCHOOL ) |