I came up with a pretty easy paper piercing technique to make this cute clown card and thought I'd share it with you! I found this clown in Microsoft clip art; I played around with the size to get it where I wanted and then printed it twice.
I then cut out certain elements from the first copy and taped them to selected pieces of patterned paper. (I used scotch tape because it won't tear the paper.) Once taped to the paper, I cut out each element inside the black outline.
I then adhered them to the second copy. By cutting inside the outline on the first copy, I was able to maintain the outline once adhered to the second copy.