African American man who has Down Syndrome bowling with his friend

horizontal female sport women caucasian man together cheerful eyeglasses happiness bonding laughing togetherness friend friendship usa friends enjoymentplayingdisabled bowl photography intellectual bowling disability massachusetts north america mid adult two people rear view syndrome african american black adults indoors young men men male smiling 20s color image mid adult women young adult adults only toothy smile caucasian appearance developmental 30s down syndrome trisomy 21 mental health 20 24 years 30 34 years bowling alley ten pin bowling genetic disorder ds front view dns