Background: Children with intellectual disability (ID) are at increased risk for obesity and nutrition-related health concerns, yet there is a paucity of data describing their nutrition status. The purpose of this study was to evaluate nutritional challenges of young participants (2-10 years of age) enrolled in Special Olympics Canada (SOC) programs. Method: A validated nutrition screening tool was mailed to 52 parents/caregivers of participants across 18 SOC programs in British Columbia, Canada. Results: Of the 29 (55.8%) questionnaires returned, 62.1% scored as "high" nutrition risk. Nutrition concerns included feeding (84.2%), oral motor (57.9%), and dental problems (26.3%), food allergies/intolerances (26.3%), constipation (15.8%), anaemia (10.3%), and diarrhoea (5.3%). Body mass index (BMI) for age data classified 16.7% of participants as overweight/obese and 22.2% as underweight. Conclusions: This study identifies some of the unique nutrition issues faced by children with ID. These data can help inform future ID health-related nutrition, prevention, and treatment programs. (Contains 1 table and 1 figure.)