The qualifying competition for the 2004 CONCACAF Men's Pre-Olympic Tournament determined the remaining seven teams for the final tournament.^[1]

Team 1	Agg.Tooltip Aggregate score	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

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Team 1	Agg.Tooltip Aggregate score	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

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