Lilly is dressed in a clown suit I designed and sewed myself. She is sporting a fake nose and glasses for a touch of whimsy. The inside says 'Happy Birthday'and has room to add your own birthday message. This card can be given to kids ages 1-101 years young. Card comes in a clear protective sleeve with white envelope. I take all of my own photographs and make my own cards on heavyweight cardstock and photos are professionally printed at photo lab. The name of the dog in photo is written on back of card.