FLF

AOR

DCRGEN

TK

FFI

BKT

PHF

BKP

SUM

PR

KSSABBR.

QTY:

QTY:

QTY:

= STANDARD FORMAT (ALL SETS LISTED ARE LEGAL IN THE EXPANDED FORMAT)

= STANDARD FORMAT (ALL SETS LISTED ARE LEGAL IN THE EXPANDED FORMAT)

ADMINISTRATIVE USE ONLY

ABBR.

SET NAME

NAME:

NAME:

NAME:

SET: COLL. #:

SYMBOL

SYM.

PRC

FCO

GRI

PR

XY

ROS

STS

BUS

PR

EVO

TK

PR

MCD

XY—Flashfire

XY—Ancient Origins

Double CrisisGenerations

XY Trainer Kit

XY—Furious Fists

XY—BREAKthrough

XY—Phantom Forces

XY—BREAKpoint

Sun & Moon

Black Star Promos BW01 and higherBlack Star Promos XY01–XY66Black Star Promos XY67 and higherBlack Star Promos SM01 and higher

McDonald’s® Collection

XY—Kalos Starter Set

XY—Primal Clash

XY—Fates Collide

Sun & Moon—Guardians Rising

XY

XY—Roaring Skies

XY—Steam Siege

Sun & Moon—Burning Shadows

XY—Evolutions

Sun & Moon Trainer Kit

BLWDEXPLFTK

EPODRXPLB

NVIBCRLTR DRV

NXDPLS

SLG Shining Legends

CIN Sun & Moon—Crimson InvasionUPR Sun & Moon—Ultra Prism

©2018 Pokémon. Noncommercial reproduction permitted.

In addition to the card name and quantity of each card in your deck, we also require you to provide us with the set name and collector number of each Pokémon. This will help us ensure that each player is using a legal deck.If one of the cards in your deck comes from a set previous to those listed, but was reprinted in one of the listed sets, put NA as the set name.

Pokémon

Black & White Series

Trainer

Energy

Player Name: __________________________ Player ID: _________________ Date of Birth (MM/DD/YYYY): ___ / ___ / _____

2018 Pokémon TCG Tournament Season through Sun & Moon —Ultra Prism Format (check one): ❒ Standard ❒ Expanded

Age Division (check one): ❒ Junior Division (born in 2007 or later)

❒ Senior Division (born in 2003, 2004, 2005, or 2006)

❒ Masters Division (born in 2002 or earlier)