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
<<< 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:
<<< Total in Side Deck <<< Total in Extra Deck