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 Dimension Shifter 3 Pot of Prosperity 3 Evenly Matched
3 Droll & Lock Bird 1 Traptrip Garden 2 Floodgate Trap Hole
2 Traptrix Arachnocampa 1 Gravedigger's Trap Hole
2 Traptrix Dionaea 3 Infinite Impermanence
3 Traptrix Mantis 3 The Phantom Knights of Shade Brigandine

3 Traptrix Myrmeleo 3 Traptrix Holeutea

3 Traptrix Pudica 1 Traptrix Trap Hole Nightmare
1 Traptrix Vesiculo

20 <<< Total Monster Cards 4 <<< Total Spell Cards 16 <<< Total Trap Cards

Side Deck Extra Deck For Judge Use Only

3 Dark Ruler No More 1 Artifact Durendal Deck List Checked?

3 Dimensional Barrier 1 Aussa the Earth Charmer, Immovable Judge Initial Infraction(s):
Description:
1 Dinowrestler Pankratops 1 Divine Arsenal AA-ZEUS - Sky Thunder

2 Gadarla, the Mystery Dust Kaiju 1 Number 41: Bagooska the Terribly Tired Tapir

1 Gameciel, the Sea Turtle Kaiju 1 Stellarknight Constellar Diamond Deck Check Rd:

1 Gravedigger's Trap Hole 1 Tellarknight Ptolemaeus Judge Initial Infraction(s):

Description:
1 Harpie's Feather Duster 1 Time Thief Redoer
3 Solemn Judgment 1 Traptrix Allomerus
1 Traptrix Atypus Deck Check Rd:

1 Traptrix Pinguicula Judge Initial Infraction(s):

Description:
1 Traptrix Rafflesia
3 Traptrix Sera
1 Underworld Goddess of the Closed World

15 <<< Total in Side Deck 15 <<< Total in Extra Deck