Bahamas             

Representative Organisation     

The Bahamas Down Syndrome Association and Center

Bermuda            

Representative Organisation     

Bermuda Down Syndrome Support Group

Canada

Representative Organisation     

Canadian Down Syndrome Society

Affiliate Organisation                     

Down Syndrome Resource Foundation

T21 Association Ouest Africaine

United States   

Representative Organisation     

National Down Syndrome Society (NDSS)

Affiliate Organisation                     

Alexander's Angels, Inc.

Down Syndrome Affiliates in Action

LuMind IDSC Foundation

National Down Syndrome Congress (NDSC)

San Diego Down Syndrome Organisation