The qualifying competition for the 2004 CONCACAF Men's Pre-Olympic Tournament determined the remaining seven teams for the final tournament.[1]
First round
edit| Team 1 | Agg. | Team 2 | 1st leg | 2nd leg |
|---|---|---|---|---|
Trinidad and Tobago 
|
6–1 |  Bahamas
|
3–0 | 3–1 |
Nicaragua 
|
3–6 |  Panama
|
2–2 | 1–4 |
Grenada 
|
10–1 |  Cayman Islands
|
5–0 | 5–1 |
U.S. Virgin Islands 
|
0–24 |  Canada
|
0–10 | 0–14 |
Dominican Republic 
|
0–2 |  Haiti
|
0–1 | 0–1 |
Dominica 
|
1–4 |  Saint Kitts and Nevis
|
0–1 | 1–3 |
Cuba 
|
1–2 |  Jamaica
|
1–1 | 0–1 |
Suriname 
|
0–8 |  Guatemala
|
0–2 | 0–6 |
Guyana 
|
5–3 |  Barbados
|
4–1 | 1–2 |
Costa Rica 
|
23–0 |  Belize
|
15–0 | 8–0 |
| Dominica | 0–1 | Saint Kitts and Nevis |
|---|---|---|
Geneva Playing Field, Grand Bay
| Guyana | 4–1 | Barbados |
|---|---|---|
Blairmont Community Centre Ground, Blairmont
| Barbados | 2–1 | Guyana |
|---|---|---|
Barbados National Stadium, Waterford
Second round
edit| Team 1 | Agg. | Team 2 | 1st leg | 2nd leg |
|---|---|---|---|---|
Saint Lucia 
|
1–13 | Panama
|
1–6 | 0–7 |
El Salvador 
|
1–1 (pen 4-5) | Canada
|
1–0 | 0–1 |
| Saint Kitts and Nevis
|
0–10 |  United States
|
0–6 | 0–4 |
| Grenada
|
1–4 | Trinidad and Tobago
|
1–1 | 0–3 |
| Costa Rica
|
10–1 | Guyana
|
7–0 | 3–1 |
| Haiti
|
2–3 |  Honduras
|
0–1 | 2–2 |
| Jamaica
|
3–2 | Guatemala
|
2–0 | 1–2 |
| Canada | 1-0 | El Salvador |
|---|---|---|
| Penalties | ||
| 5–4 | ||
Apple Bowl, Kelowna
| Guyana | 1–3 | Costa Rica |
|---|---|---|
Blairmont Community Centre Ground, Blairmont