In the Action Alphabet Activities book the children can use the quilt template to make a pattern quilt, and I'd like to suggest using patterned paper material.
Help the child cut out the quilt squares and glue the squares onto the Q activity printed on card stock paper. Use a hole punch and yarn, and have them "sew" the quilt together while making the /q/ sound each time the "needle" sews the quilt.
Fantastic work! During this activity, the preschooler has used his/her MATH skills with the patterns, FINE MOTOR skills while cutting and pasting, and seeing while practicing their PRE-READING skills.