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In July 2016, Cairns signed for League One club Fleetwood Town, where he went on to establish himself in the first team. He played a total of 81 games in his first two seasons at the club, keeping 34 clean sheets.

On 13 May 2015, Cairns was released by Leeds United after his contract expired.

On 29 July 2015, Cairns signed a six-month contract at Chesterfield. However, he didn't make an appearance for Chesterfield and left the club on 7 January 2016 after his contract expired.

Following an injury to Jamie Ashdown during the following pre-season, Cairns was promoted to second choice goalkeeper, providing backup for Paddy Kenny and then loan goalkeeper Jack Butland. He remained second choice at Leeds even after Kenny's return from injury. On 16 May 2014, Cairns extended his contract with Leeds by a further year.

In November 2014, Cairns' 16-year-old brother Blake was killed in a two car collision in Conisbrough alongside four other teenagers, three of whom attended Danum Academy Sixth Form with the other having previously attended the Sixth Form. His funeral was attended by Cairns and several members of the Leeds first-team squad.

After falling down the pecking order at Leeds following the signings of two new goalkeepers, Cairns joined Conference North side Stalybridge Celtic on a month-long loan after first-choice goalkeeper Andy Ralph suffered a suspected broken leg in the Badgers' opening game of the season. He made his debut for the club at their Bower Field ground in a 1–1 draw against Gainsborough Trinity and kept his first clean sheet later that week in a 0–0 stalemate against Droylsden. He featured for Celtic in a 2–1 friendly victory over a Manchester United XI which included Darren Fletcher and Alexander Büttner on 11 September. He remained an ever-present for the club since arriving until he was substituted in an early-round FA Cup match on 22 September versus Vauxhall Motors after sustaining a dead-leg following a collision with an opposing player. His loan spell was extended until the end of November during which he reached the final qualifying round of the FA Cup with the Badgers before succumbing to Conference National side Stockport County in a 3–5 defeat at Edgeley Park.

At Stalybridge Celtic's end of season awards on 27 April 2013, Cairns won the Player of the Year, Players' Player of the Year and Supporters' Player of the Year awards.

After an injury to Jamie Ashdown for the final home game of the season, Cairns was recalled to Leeds on 26 April 2013, and was named on the bench against Brighton & Hove Albion on 27 April.

Cairns began his career in the Leeds United youth academy and turned professional with the club at the end of the 2010–11 season by signing a one-year contract along with fellow youth players and twins Nathan and Lewis Turner. The following season would see Cairns join the senior team as cover for Paul Rachubka after first choice goalkeeper Andy Lonergan sustained a finger injury. Rachubka's time in the side was marked by a series of calamitous errors; three of which would come in the first half of a league match against his former club Blackpool. With United 0–3 down at half time and Rachubka's position seemingly untenable, Cairns replaced him for the second half in a baptism of fire. The young goalkeeper would concede a further two times as Blackpool ran out 5–0 winners. In making his debut for the club, Cairns followed in the footsteps of former Leeds academy graduates and England international goalkeepers Paul Robinson and Scott Carson.

Alex Thomas Cairns (born 4 January 1993) is an English footballer who plays as a goalkeeper for Fleetwood Town.