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
2 Dragonpit Magician 1 Dark Hole 2 Royal Decree
2 Dragonpulse Magician 1 Monster Reborn
2 Nobledragon Magician 1 Mystical Space Typhoon
3 Oafdragon Magician 2 Odd-Eyes Fusion
3 Odd-Eyes Pendulum Dragon 1 Pendulum Call
1 Performapal Coin Dragon 1 Raigeki
1 Performapal Odd-Eyes Dissolver 3 Sky Iris
1 Performapal Odd-Eyes Minitaurus 3 Summoner's Art
1 Performapal Odd-Eyes Synchron 1 Terraforming
1 Performapal Skullcrobat Joker
3 Performapal Trump Girl
1 Speedroid Red-Eyed Dice
1 Stargazer Magician
1 Timegazer Magician
1 Wisdom-Eye Magician

24 <<< Total Monster Cards 14 <<< Total Spell Cards 2 <<< Total Trap Cards

Side Deck Extra Deck For Judge Use Only

2 Clear Wing Synchro Dragon Deck List Checked?

2 Dark Rebellion Xyz Dragon Judge Initial Infraction(s):

Description:
1 Odd-Eyes Raging Dragon
1 Odd-Eyes Rebellion Dragon
1 Odd-Eyes Venom Dragon Deck Check Rd:

1 Odd-Eyes Wing Dragon Judge Initial Infraction(s):

Description:
2 Starving Venom Fusion Dragon
1 Supreme King Z-ARC
Deck Check Rd:

Judge Initial Infraction(s):

Description:

0 <<< Total in Side Deck 11 <<< Total in Extra Deck