Here's the inside of the card. As the card is opened, the label with the sentiment pops forward and up, giving the appearance the the balloons attached to the label are floating up...fun!
Paper pieced teddy bears, cake and gifts are from Marjorie Ann Designs. I used elements from three cutting files, "Take Time To Smell the Flowers", "Birthday Girl" and "Betsy Loves Baking" to put this card together. Stitched balloons were cut using Craft Emporium's Balloons Galore die set, and sprinkles and candles were cut from "Sprinkles Confetti" and "Cake & Stand" dies from Taylored Expressions' Little Bits collection.