It was part of District XI of the Pennsylvania Interscholastic Athletic Association (PIAA).
There had been widespread discussion about high school league realignment in the Lehigh Valley starting in late 1990 and early 1991.
[2] The new league included all the public high schools in Monroe County at the time: Stroudsburg, East Stroudsburg, Pocono Mountain, and Pleasant Valley High Schools, plus Nazareth and Northampton High Schools from Northampton County.
[7] Lehighton left the Mountain Valley Conference in most sports and now participate in the Schuylkill League.
[8] The seven high school teams that previously comprised the Mountain Valley Conference (and their locations) were: Football only: The Mountain Valley Conference was part of District XI of the PIAA.