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: 40
Monster Cards Spell Cards Trap Cards
3 Legendary Six Samurai - Kizan 1 Gateway of the Six
3 Grandmaster of the Six Samurai 3 Shien's Smoke Signal
2 Secret Six Samurai - Kizaru 3 Six Samurai United
3 Legendary Six Samurai - Mizuho 3 Shien's Dojo
3 Legendary Six Samurai - Shinai 1 Reinforcement of the Army
2 Legendary Six Samurai - Kageki 1 Monster Reborn
1 Secret Six Samurai - Hatsume 1 Living Fossil
1 Secret Six Samurai - Fuma 1 Moon Mirror Shield
1 Shien's Squire 1 "Infernoble Arms - Durendal"
1 Great Shogun Shien 1 D.D.R. - Different Dimension Reincarnation
2 Fire Flint Lady 1 Divine Sword - Phoenix Blade
1 Immortal Phoenix Gearfried
23 <<< Total Monster Cards 17 <<< Total Spell Cards 0 <<< Total Trap Cards
Side Deck Extra Deck For Judge Use Only
1 Legendary Six Samurai - Shi En Deck List Checked?
1 Borreload Savage Dragon Judge Initial Infraction(s):
Description:
1 Naturia Beast
1 Herald of the Arc Light
1 Shadow of the Six Samurai - Shien Deck Check Rd:
1 Number 60: Dugares the Timeless Judge Initial Infraction(s):
Description:
1 Number 49: Fortune Tune
1 Downerd Magician
1 Divine Arsenal AA-ZEUS - Sky Thunder Deck Check Rd:
2 Battle Shogun of the Six Samurai Judge Initial Infraction(s):
Description:
1 Isolde, Two Tales of the Noble Knights
2 Saryuja Skull Dread
1 Apollousa, Bow of the Goddess
0 <<< Total in Side Deck 15 <<< Total in Extra Deck