Although I prefer the 12 x 12 spreads, I am not averse to use the A4 size, so I have the option to print it off myself at home. With storage space at a premium, I'm being persuaded to store these electronically - dropping photos in are a breeze, and I am more likely to create an album this way than by the old fashioned method, even though I still love the tactile feel of a real page with the textures and 3D effects.
Here is what I used to create this page. The Nursery papers, Medallion, Simple Stitches, Bakers Twine are all included in the MDS software, as are the punches and labels I used for the photo corner and labels. The extras from the Embellishments section were Timeless Taffeta Trimmings, Beau Chateau, Vintage Trinkets, Shaped clips.
For reasons of symmetry, when creating the collage, the nursery designer papers came up twice - so ignore it!