Developmental delay often hinders the ability of 7q11.23 Duplication Individuals to keep up with their peers verbally, socially, emotionally, and sometimes physically. Enrolling 7q11.23 Duplication individuals in classes and programs is a great way to test the waters to determine where their abilities are and what interests them.  If difficulties are found, you can request your child “play down” on a team or be placed in a class with younger children.  Sometimes cities or leagues may require documentation from a doctor for this accommodation to be be made for your child.  If difficulties arise once the child is on the team, be sure to take the time to educate coaches and even peers about the duplication.  Knowledge is power.  The more knowledge others have, the more support our children will receive.  Individual sports may be a great alternative.  Ex: horses, karate, swimming, hiking, etc.