I used to do more of a full-on party, but now it's more of an acknowledement. There are always decorations when they arrive, then we go about our business. At lunch, it's a special tablecloth and hats, followed by a cake or cupcakes. And at the end of the day I send them home with a very small gift....$5. And the other dcks make cards for the birthday kid. I just had one this week, then all the rest are in April!!!!