A total of 16 CONCACAF teams entered the competition, but FIFA rejected the entry of Belize due to outstanding debt.
Netherlands Antilles advanced to the Second Round, 4–1 on aggregate score.
The aggregate score was tied at 1–1, however Trinidad and Tobago qualified on away goals.
1 The tie was scratched and Costa Rica advanced to the final round as Mexico were disqualified after being suspended for fielding overaged players during the 1988 CONCACAF U-20 Tournament.
The aggregate score was tied at 3–3, however Guatemala qualified on away goals.