African American man who has Down Syndrome holding a bowling ball

sport man close up happy sphere eyeglasses happiness portrait ball usa disabled bowl photography intellectual bowling disability headshot massachusetts north america looking at camera african american syndrome one person african american black adult indoors vertical young man men male smiling 20s color image only men young adult one man only focus on foreground toothy smile developmental down syndrome trisomy 21 bowling ball one young man only mental health 20 24 years bowling alley ten pin bowling genetic disorder ds front view dns