I went for the diagonal - top right to bottom left. That meant using heat or dry embossing, twine/ribbon and I decided to interpret Male or Female as a unisex card. This is what I came up with:
For the sentiment I dry embossed the word "Celebrate", went over it with a Versamark pen and then heat embossed with gold. The edges of the sentiment and two ribbons were also embossed with gold.