Please write all card names completely and legibly.

Judge Use Only: M S E

Please include the quantity for each card.
Last Initial

Full Name: Date: M M / D D / Y Y Y Y

Main Deck Total

Konami Player ID: Event:

Monster Cards Spell Cards Trap Cards

0 <<< Total Monster Cards <<< Total Spell Cards <<< Total Trap Cards

Side Deck Extra Deck For Judge Use Only

Deck List Checked?

Judge Initial Infraction(s):

Description:

Deck Check Rd:

Judge Initial Infraction(s):

Description:

Deck Check Rd:

Judge Initial Infraction(s):

Description:

0 <<< Total in Side Deck <<< Total in Extra Deck