I went with the sketch and let the patterned paper from Whatever the Weather do all the work!
I chose two patterns and separated them with a sliver of black cardstock. For the sentiment, I used the incentive set Gift Greetings and die-cut it with Stitched Flags. I then layered that slightly offset onto a black flag and tied some pink baker's twine around the end. A few sequins and my card was finished.
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I'm entering this into the current Seize The Birthday Challenge, where the toppings are Bold & Bright - I'm pretty sure this card qualifies :)
Stamps: Gift Greetings
Ink: Black Licorice Hybrid
Cardstock: White, black, Whatever the Weather Patterned Paper Pack
Dies: Stitched Flags
Accessories: Twine, Sequins