The United States qualified one player based on the Badminton Junior World Rankings. ;Singles ;Team
Basketball
The United States qualified a girls' team based on its performance at the 2017 FIBA 3x3 U18 World Cup. The United States later qualified a boys' team based on the U18 3x3 National Federation Ranking.
Boys' tournament - 1 team of 4 athletes
Girls' tournament - 1 team of 4 athletes
Beach volleyball
The United States qualified a girls' team based on their performance at the 2018 Central Zone U19 Championship.
Girls' tournament - 1 team of 2 athletes
Boxing
;Boys
Athlete
Event
Preliminary R1
Preliminary R2
Semifinals
Final /
Rank
Athlete
Event
Opposition Result
Opposition Result
Opposition Result
Opposition Result
Rank
Otha Jones III
-64 kg
L1–4
L2-3
Did not advance
5
;Girls
Canoeing
The United States qualified three boats based on its performance at the 2018 World Qualification Event.
Boys' K1 - 1 boat
Girls' C1 - 1 boat
Girls' K1 - 1 boat
Diving
Equestrian
The United States qualified a rider based on its performance at the FEI North American Junior Championships.
Individual Jumping - 1 athlete
Fencing
The United States qualified six athletes based on its performance at the 2018 Cadet World Championship.
The United States qualified a boys' team based on its performance at the 2018 Americas North qualification tournament, with Canada electing to send its boys' field hockey team instead based on quotas. ;Roster
The United States qualified one boat based on its performance at the North American and Caribbean Nacra 15 Qualifiers. The nation later qualified two more boats based on their performance at the North American Windsurfing Championship.An IKA Twin Tip boat was qualified through its performance at the 2018 World Championship.
Boys' Techno 293+ - 1 boat
Boys' IKA Twin Tip Racing - 1 boat
Girls' Techno 293+ - 1 boat
Mixed Nacra 15 - 1 boat
Sport climbing
The United States qualified two sport climbers based on their second-place and third-place finishes in the youth A combined event of the 2017 World Youth Sport Climbing Championships.
Girls' combined - 2 quotas
However neither Shiraishi nor Raboutou was included in the final list of starting athletes for the Summer Youth Olympics. The US Olympic Committee declined to allow them to participate, citing a fixed limit on the total number of athletes that it could send to all events, and a low prioritization of the climbing event based on the fact that, as a sport new to the Olympics, USA Climbing had applied for recognition by the USOC but not yet received it.
Swimming
United States qualified eight swimmers.
Table tennis
The United States qualified two table tennis players based on its performance at the North American Continental Qualifier.