This is 6-year-old Cole Vukich. He earned this token today at the hematology/oncology clinic at the Mary Bridge Health Center.
To earn a token, "I have to get a poke," Cole explained.
Once children earn four tokens, they can pick a toy from a treasure box, or chose a gift card, which are supplied by donors. Cole saves his tokens in a small fabric bag, which was hand sewn and also donated to Mary Bridge.
Cole's dad Steve, a West Pierce Fire & Rescue firefighter, will join 1,500 other firefighters to climb 69 flights of stairs.
Before last year's stairclimb, Cole gave his dad one of his hard-earned tokens, for good luck.
Asked whether he prefers the tokens or the pokes, Cole said, "I like both."
"Because once I get my four tokens, I get to go to Target to get whatever I want," he said. "And the poke usually doesn't hurt that much."