What happens when you combine senior citizens, pre-service art teachers, and elementary students? Cross-generational connections based on sharing memories, ideas, skills, laughter, tears, and creativity. The authors describe the cross-generational book exchange project. This project was initiated when a group of Central Michigan University (CMU) pre-service art teachers were asked if they would like to volunteer to make original handmade books honoring the childhood memories of the Isabella County Medical Care Facility (ICMCF) residents. In addition, six third- and fourth-grade classes from Mount Pleasant schools were asked to exchange their handmade books with the senior citizens. The cross-generational book exchange project was presented to Art Reach of Mid Michigan, a non-profit community arts organization, and ICMCF to see if they would provide financial support. Both institutions readily agreed to support the project. (Contains 1 online resource.)