Please write all card names completely and legibly. Please include the quantity for each card.
Judge Use Only:
M
S
E Last Initial
Full Name:
Date:
M M / D D / Y Y Y Y Main Deck Total
Konami Player ID:
Monster Cards
0
<<< Total Monster Cards
Side Deck
Event:
Spell Cards
<<< Total Spell Cards
Trap Cards
<<< Total Trap Cards
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 Description:
0
<<< Total in Side Deck
<<< Total in Extra Deck
Infraction(s):