Man with Down Syndrome swimming in the pool

horizontal outdoors day home caucasian man smile happy edge wet swimming happiness portrait refreshment usa disabled independent photography lifestyles disability poolside headshot massachusetts freshness north america looking at camera swimming pool syndrome one person leaning young men boy smiling 20s wet hair color image only men water young adult one man only focus on foreground toothy smile caucasian appearance developmental bare chest down syndrome trisomy 21 one young man only 25 29 years incidental people genetic disorder ds front view north andover dns