How about a list of favorites. Favorite color, book, movie, food, music, sport, etc. A place for a baby photo of birth parents and a spot for a current photo. Same for adoptive parents. Pregnancy highlights.
A special story about the birth parents and adoptive parents for every year of their life, something that when the child turns 6, they can read about what happened when their 4 parents were 6 (or just what they liked and disliked, wanted to be when they grew up, etc).
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