It was easy to format the images by using the cropping and text box tools to get the placement of the images and text just right. There was a bit of cutting involved (pink frill template) however this was completed in front of the TV while the babes were sleeping and before I knew it they were all cut.
To make the holes in the frill template I used Fiskars small hole punch (a bargin buy from Spotlight). By the image, you can guess what she wants as the theme. I figure you only turn three once and I only have one daughter so it's nice to go to the effort (time permitting of course).