Start by selecting the quilt block designs you want to use. I use this book, which has some great patterns. I am going to be making a twin sized sampler quilt for my niece which will have 15 different blocks.
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Next, you need to choose a selection of fabrics (pink is her favorite!). I probably won't use the paisley ones.
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Trace and cut out the pattern pieces. I like to use this plastic so the pattern is reusable. I am going to start with Ohio Star.
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Trace the pattern pieces onto your desired fabrics.
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Mark a 1/4" seam allowance and cut out.
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Here are all my pieces cut out.
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To sew the pieces together, start by placing two pieces with right sides together, then pin through the two corner points, and along the seam allowance line.
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Iron the seam with the seam allowance to one side (toward the darker fabric usually). And then flip and iron the piece. 
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Thread a needle with hand quilting thread knotted at one end. Place the needle through the corner points and make a single stitch .
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Make a second stitch, and then continue in a running stitch across the seam line, making small even stitches.
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Return several stitches and then clip the thread.
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Iron the seam with the seam allowance to one side (toward the darker fabric usually). And then flip and iron the piece.
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Sew the pieces together according to the order indicated in the pattern book.
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The finished Ohio Star block.
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