Your detailsName* First Last Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email* Enter Email Confirm Email Phone*Address* Street Address Address Line 2 City ZIP / Postal Code Medical Details, Next of Kin and Emergency Contacts*Please enter any medical information (such as allergies), that we need to know. Please also enter emergency contact details here too.Do you give permission to the club to use training/ match day/ social photographs, which may contain yourself, on their official social media platforms?*Please select an optionYesNoMembership offersReceive offers?*Nottingham Lions FC has partnered with ClubPress to give exclusive membership offers to members of Nottingham Lions. This raises the club money, as well as saves you money. Let us know if you want to receive these offers.I want to receive these offersI don't want to receive these offersYour membershipHave you already paid the joining fee?*YesNoJoining fee* Price: £ 5.00 Credit/Debit Card* American ExpressMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Have you set up a standing order with the club?*This is to pay the £16 a month membership fee.YesNoI'll pay cash on the eveningPlease set up a standing order with your bank to the following account: Sort code: 40-35-18. Account number: 54845897NameThis field is for validation purposes and should be left unchanged.