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: 50
Monster Cards Spell Cards Trap Cards
1 Battle Ox 1 Ancient Telescope 1 Castle Walls
1 Blue-Eyes White Dragon 1 Dark Energy 1 Just Desserts
1 D. Human 1 Dark Hole 1 Reinforcements
1 Dark Assailant 1 De-Spell 1 Reverse Trap
1 Dark Titan of Terror 1 Fissure 1 Trap Hole
1 Destroyer Golem 1 Invigoration 1 Two-Pronged Attack
1 Gyakutenno Megami 1 Monster Reborn 1 Ultimate Offering
1 Hane-Hane 1 Ookazi
1 Hitotsu-Me Giant 1 Remove Trap
1 Judge Man 1 Sogen
1 Kojikocy 1 The Flute of Summoning Dragon
1 Koumori Dragon 1 The Inexperienced Spy
1 La Jinn the Mystical Genie of the Lamp
1 Lord of D.
1 Master & Expert
1 Mysterious Puppeteer
1 Mystic Clown
1 Mystic Horseman
31 <<< Total Monster Cards 12 <<< Total Spell Cards 7 <<< 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 0 <<< Total in Extra Deck