The purpose of this study was to examine the impact of early childhood adapted physical education (APE) and caregiver-implemented homework on the gross motor skill development of 19 young children with Down Syndrome (DS). The results of three groups were compared: (a) APE only, (b) APE plus picture card homework, and (c) APE plus instructional online video homework. The Test of Gross Motor DevelopmentSecond Edition (TGMD-2; Ulrich, 2000) was used to determine pretest, posttest, and retention scores following a 12-week intervention. Quantitative data were analyzed using mixed-design factorial ANOVA. All groups made significant gains in object control skill scores; there was no significant difference between groups. Qualitative data analysis (Lincoln & Guba, 1985) of the family questionnaire responses, supported the use of homework for young children with DS.