2003 CONCACAF U-20 Tournament qualifying
This article features the 2003 CONCACAF U-20 Tournament qualifying stage. Caribbean and Central American teams entered in separate tournaments. The North American teams Canada and Mexico automatically qualified, as well as main tournament hosts Panama and the United States. Eighteen Caribbean teams entered, of which two qualified and five Central American teams entered, of which two qualified.
Caribbean
Preliminary round
Saint Lucia received a bye because Anguilla withdrew.Group stage
Group A
All matches were played in Suriname.| Teams | Pld | W | D | L | GF | GA | GD | Pts |
| 3 | 2 | 0 | 1 | 6 | 2 | +4 | 6 | |
| 3 | 2 | 0 | 1 | 4 | 5 | –1 | 6 | |
| 3 | 1 | 0 | 2 | 4 | 4 | 0 | 3 | |
| 3 | 1 | 0 | 2 | 4 | 7 | –3 | 3 |
Group B
Montserrat withdrew in this group.| Teams | Pld | W | D | L | GF | GA | GD | Pts |
| 2 | 2 | 0 | 0 | 9 | 2 | +7 | 6 | |
| 2 | 1 | 0 | 1 | 2 | 3 | –1 | 3 | |
| 2 | 0 | 0 | 2 | 1 | 7 | –6 | 0 |
Group C
All matches were played in Saint Kitts and Nevis. Antigua and Barbuda were disqualified, they were supposed to be group host but were too late informing that their field was unavailable for play.| Teams | Pld | W | D | L | GF | GA | GD | Pts |
| 2 | 2 | 0 | 0 | 13 | 1 | +12 | 6 | |
| 2 | 1 | 0 | 1 | 7 | 5 | +2 | 3 | |
| 2 | 0 | 0 | 2 | 1 | 15 | –14 | 0 |
Qualified for Main Tournament
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