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 1 Codebreaker Zero Day 2 Gouki Cage Match 1 Gozen Match 2 Effect Veiler 2 Gouki Face Turn 2 Phantom Knights' Fog Blade 2 Gouki Guts 1 Gouki Finishing Move 1 Rivalry of Warlords 3 Gouki Headbatt 2 Gouki Re-Match 1 The Phantom Knights of Shade Brigandine 1 Gouki Iron Claw 1 One for One 1 Gouki Octostretch 1 Reasoning 2 Gouki Riscorpio 1 Reinforcement of the Army 3 Gouki Suprex 3 Small World 3 Gouki Twistcobra 3 Triple Tactics Talent 1 The Phantom Knights of Silent Boots
19 <<< Total Monster Cards 16 <<< Total Spell Cards 5 <<< Total Trap Cards
Side Deck Extra Deck For Judge Use Only
1 Apollousa, Bow of the Goddess Deck List Checked?