I made two of these. One for each of my grandson's great grandmothers, my mom and my mother in law. We put in all pictures of Austin and I gave them to my daughter to sign and give to them. They both loved it. Now I am making another one for a friend that is pregnant and she is giving it to her best friend. Instead of adding pictures, we are putting in a card in the first slot with an copy of her ultra sound asking her to be the baby's God Mother.