My little nephew is a HUGE fan of all the Sesame Street characters. Elmo was one of his favorites. For his birthday last August, this was the card I gave him.
I used a scallop punch for Elmo, circle punch for his eyes, cut out his nose, and used remnants of an eighth note sticker for the eyes. For the mouth I trimmed a punched 1/2 circle and of course for the polka dots I used my circle punch. The "2" was cut out from my Slice machine.
It took me a long time to make the card but it was worth it.
Happy Birthday Little Z!