This book should be read around thanksgiving. I would read this book up to 2nd grade. The students could do a sequencing activity. I would design a box with the old ladies face and have the students put the things she swallowed in order of how they were in the book. you could also have them write in their daily journals. I would have the sentence If I was on old lady I'd swallow a______. Then they would draw a picture of a big mouth and what they swallowed inside the mouth.