The itty-bitty cutie pie image on my card is called "Miss Clair Clown, and she's available in the A Day for Daisies store here
I merged the image with a digital image of a circus tent before printing and colouring using alcohol markers.
I also used the following:
white cs card base
red cs mat
sewn on flower sequins and beads, and a shiny butterfly
DURBAN, SOUTH AFRICA