"One at a time, four tribe members would crawl in the mud under a net and then retrieve a ball from a stack of hay. Once all four balls were retrieved, they must remove the balls from their burlap casing. Then three tribe members would use small shields to bounce one ball at a time into a barrel. The first tribe to have all four balls in the barrel would win." ~ @SurvivorWiki
They do not use the Medallion and get to keep it.
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They also win either a tarp or fishing supplies.
They choose the tarp!
Proceed to tribe events.