The two regional champions advanced to a playoff to decide who would face Uruguay and Chile in Round 3A.
On July 11, 2009, Canada claimed the Americas 1 seed, making them the first team to qualify for the 2011 Rugby World Cup.
The USA followed on November 21 to claim the Americas 2 seed, sending Uruguay to the playoffs for the final place.
The Caribbean Regional Championships held in the Cayman Islands was the first Qualifying event for the Rugby World Cup 2011.
The Mexicans faced Saint Vincent and the Grenadines in a preliminary qualifying match to determine the final eight.
The match was played at the Arnos Vale Ground in Kingstown, Saint Vincent and the Grenadines.
The main tournament was hosted by the Cayman Islands, with all matches being played at Truman Bodden Stadium in George Town.
The winner, Canada, qualified for Pool A of the 2011 Rugby World Cup as Americas 1; the USA moved on to Round 4.