Needham High School is a member of the Bay State Conference comprising of 10 high schools in two divisions, divided by geography: the Carey Division (Brookline, Framingham, Natick, Newton North, and Wellesley) and the Herget Division (Braintree, Milton, Needham, Walpole, and Weymouth).
There are 38 Varsity Programs, 10 Club Sports and 14 Middle Schools Sports, including Unified Programs in partnership with the Special Olympics. The Needham Public Schools offer the most public school athletic opportunities in the State.
Needham competes in the MIAA Division 1 State Tournament for most sports. Select sports such as Ski, Squash, Ultimate Frisbee and Rugby compete in different tournaments.