Select Style & Write following in notes to seller:
-Size:
Childs name & Age:
Height/Weight/Teeth:
Date of birth, weight at birth:
12-14 likes/loves
3 categories to be highlighted (1 on left bottom, 1 on right top, 1 under loves), with answers equivalent in size to sample:
1 birthday message for bottom middle (equivalent in size):

To change colors, add/alter graphics, add over above limitations select custom when adding to cart.  Select double custom for more than one of these changes.