Depends on what tournament they are.
For World Cup Qualifying, No.
For Quarterfinals, Semifinals, Final on tournament like the Gold Cup and the Champions Cup yes.
Confederation of North, Central American and Caribbean Association Football (Soccer).
Yes
Tie breaker
No, but you have to have a certain amout of soccer/football experience... Which is "play" on a professional team.
None or up to 3. Depends on what the coach has done previously in the game. Soccer only allows 3 substitutions in any official game.
CONCACAF was created in 1961.
Extra time
In accordance with FIFA Laws of the Game "Kicks from the Penalty Mark" is a sanctioned method of determining the winner of a match after overtime periods have been played.
CONCACAF Gold Cup was created in 1991.
CONCACAF's Women's Championship was created in 1991.
CONCACAF's Women's Championship ended in 1998.
CONCACAF Champions League was created in 1962.