Quantitative research indicates delayed motor skills and fitness levels of individuals with Down syndrome (Pitetti & Fernhall, 2004; Rimmer, et al 2004; Tsimaras & Fotiadou, 2004). Limited qualitative research has explored attitudes and lifestyle choices of adults with Down syndrome (Jobling, 2001). We do not have qualitative data from parents regarding the physical activity patterns and needs of their children with Down syndrome. This information could guide participation in physical education and community-based physical activity programs. A focus group research design (Morgan, 1997) was employed with 24 participants divided into four groups: mothers of preschoolers, mothers of lower elementary age students, mothers of teenagers, and mothers/fathers of children from 3 yrs – 15 yrs of age. Transcripts were analyzed for related themes within each focus group and thematic comparisons were made across focus groups (Denzin, 1989; Stringer, 2004). Parents of preschoolers saw their children as naturally active and were determined to keep their children physically active to prevent obesity. Parents of elementary-age children saw their children's interests in physical activity wane as the gap between their skills and the skills of non-disabled peers widened and the number of appropriate community-based programs decreased as their children aged. Parents of teenagers described a lack of opportunity for inclusive physical activity that is competitive yet appropriate for mental and physical age. Those parents regretted not focusing on the development of health-enhancing motor skills earlier in their children's lives. The mixed group saw a need for parent education regarding physical activities that can be implemented in the family setting. Across all groups, parents involved their children in physical activities at different ages for immediate and long-term health benefits and social interaction. Social interaction through physical activity was a particular emphasis for parents in elementary and teenage groups. The teenage and mixed groups observed a need for their children to develop skills in individual sports. The information gleaned from this study can be used to guide the development of activity programs for children with Down syndrome, especially if it is used in the initial planning stages for the purpose of determining participants' needs. The emphasis on a need for social interaction and a need for participation in individual sports should be investigated further as those needs have widespread implications for physical education programs and participation in organized sports. Keyword(s): research