| 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: |
|
| 1x | Diabellze the Original Sinkeeper | 1x | D/D/D Wave High King Caesar |
| 2x | Polymerization | 1x | Guardian Chimera |
| 2x | Droll & Lock Bird | 1x | Chaos Angel |
| 2x | Edge Imp Chain | 1x | Chimera the King of Phantom Beasts |
| 2x | Frightfur Patchwork | 1x | Magnum the Reliever |
| 3x | Nibiru, the Primal Being | 1x | Berfomet the Mythical King of Phantom Beasts |
| 3x | Mulcharmy Purulia | 1x | S:P Little Knight |
| | 1x | Fiendsmith's Lacrima |
| | 1x | Fiendsmith's Desirae |
| | 1x | Fiendsmith's Requiem |
| | 1x | Fiendsmith's Sequence |
| | 1x | Necroquip Princess |
| | 1x | Aerial Eater |
| | 1x | Fiendsmith's Agnumday |
| | 1x | A Bao A Qu, the Lightless Shadow |
|
15 |
<<Total in Side Deck |
15 |
<<Total in Extra Deck |